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

MACIE M CLARK, LPN

Active

MACIE M CLARK, LPN is a Licensed Practical Nurse healthcare provider located in DU QUOIN, Illinois. NPI 1497238612 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · DU QUOIN, IL

Registration Details

NPI Number
1497238612
Provider Type
Individual
Gender
Female
NPI Issued
Sep 13, 2018 (7.8978740112195 yrs)
Last Updated
Sep 13, 2018
License
043125988 (IL)

Practice Information

Address
1564 S WASHINGTON ST
DU QUOIN, IL, 628323849
Browse IL providers · Browse ZIP 62832
Phone
6185428702
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in DU QUOIN, IL

Name Credential NPI
MRS. AUTUMN BROOKE BOYD LPN 1003917162
MRS. ANGELA JANE SHAW LPN 1558439471
CAROL S HICKS LPN 1730338997
CASEY MARIE LINDNER LPN 1548419211
SARA JEANNINE GALE HICKS LPN 1609025253
TORI LAINE MATHIS LPN 1033369681
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.