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

MRS. VICKI LYNN CLARK, RN, LSW

Active Sole Proprietor

MRS. VICKI LYNN CLARK, RN, LSW is a Case Manager healthcare provider located in BROOKVILLE, Ohio. NPI 1649415209 is currently active in the NPPES registry. Verify at CMS.

Case Manager · BROOKVILLE, OH

Registration Details

NPI Number
1649415209
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2008 (17.527986725106 yrs)
Last Updated
Jan 5, 2018
Licenses
S 0028386 (OH)
RN 185313 (OH)
Sole Proprietor
Yes

Practice Information

Address
13111 WESTBROOK RD
BROOKVILLE, OH, 453098732
Browse OH providers · Browse ZIP 45309
Phone
9378334388
Primary Specialty
Case Manager
171M00000X
Additional Specialty
Registered Nurse
Additional Specialty
Case Manager
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.