Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACQUELYN IRENE CLARK, LPN
Active Sole ProprietorMRS. 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 RDSARDIS, OH, 439469638Browse 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.