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ANDREA NICOLE CLARK LPN
NPI 1003124223
Licensed Practical Nurse in Kitts Hill, OH

Active since September 22, 2010
9869 STATE ROUTE 141, KITTS HILL, OH 45645(740) 532-4806 Get Directions Write a Review

NPPES record last updated: October 28, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Andrea Nicole Clark Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA NICOLE CLARK LPN (NPI 1003124223) is an individual licensed practical nurse in Kitts Hill, Ohio, licensed in Ohio (141456) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1003124223
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANDREA NICOLE CLARKCredential: LPN
Location Address9869 STATE ROUTE 141Kitts Hill, OH 45645-8649
Mailing Address9869 State Route 141Kitts Hill, OH 45645-8649 · (740) 532-4806
Phone(740) 532-4806
Sole ProprietorYes
Enumeration DateSeptember 22, 2010
Last NPPES UpdateOctober 28, 2014
✔ NPI 1003124223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Licenses✔ Licensed in OH · 141456✔ Licensed in WV · 31330
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
9869 STATE ROUTE 141, Kitts Hill, OH 45645
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Clark's NPI number?

The NPI number for Andrea Clark is 1003124223. It was assigned to this individual provider in the NPPES registry on September 22, 2010.

Where is Andrea Clark located?

Andrea Clark practices at 9869 State Route 141, Kitts Hill, OH 45645. The listed phone number is (740) 532-4806.

What is Andrea Clark's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Andrea Clark was last updated on October 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.