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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JACQUELYN IRENE CLARK, LPN

Active Sole Proprietor

MRS. JACQUELYN IRENE CLARK, LPN is a Licensed Practical Nurse healthcare provider located in SARDIS, Ohio. NPI 1467503334 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · SARDIS, OH

Registration Details

NPI Number
1467503334
Provider Type
Individual
Gender
Female
NPI Issued
Jan 16, 2007 (19.58099772158 yrs)
Last Updated
Jul 8, 2007
Licenses
PN091690 (OH)
12185 (WV)
Sole Proprietor
Yes

Practice Information

Address
48696 BENWOOD RD
SARDIS, OH, 439469638
Browse OH providers · Browse ZIP 43946
Phone
7404832249
Primary Specialty
Licensed Practical Nurse
164W00000X
Additional Specialty
Licensed Practical Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.