BONNIE J CLARK LPN
NPI 1104173822
Licensed Practical Nurse in Corning, NY

Active since August 13, 2012
47 CATON RD, CORNING, NY 14830(607) 937-4385 Get Directions Write a Review

NPPES record last updated: August 13, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Bonnie J Clark Lpn NPPES

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

BONNIE J CLARK LPN (NPI 1104173822) is an individual licensed practical nurse in Corning, New York, licensed in New York (217212-1) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1104173822
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBONNIE J CLARKCredential: LPN
Location Address47 CATON RDCorning, NY 14830-3741
Mailing Address47 Caton RdCorning, NY 14830-3741 · (607) 937-4385
Sole ProprietorYes
Enumeration DateAugust 13, 2012
NPI 1104173822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 217212-1
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.
47 CATON RD, Corning, NY 14830

Other Names 1

Former Name (1)Bonnie J White

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 Bonnie Clark's NPI number?

The NPI number for Bonnie Clark is 1104173822. It was assigned to this individual provider in the NPPES registry on August 13, 2012. The provider is also known as Bonnie J White.

Where is Bonnie Clark located?

Bonnie Clark practices at 47 Caton Rd, Corning, NY 14830. The listed phone number is (607) 937-4385.

What is Bonnie 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 Bonnie Clark was last updated on August 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.