MRS. MELISSA ANN CLARK LPN
NPI 1114160199
Licensed Practical Nurse in Syracuse, NY

Q: What is Melissa Clark's NPI number?

The NPI number for Melissa Clark is 1114160199. It was assigned to this individual provider in the NPPES registry on April 7, 2009.

Q: What is Melissa Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melissa Clark was last updated on April 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since April 07, 2009

113 CHENEY ST, SYRACUSE, NY 13207(315) 478-9463 Get Directions Write a Review

NPPES record last updated: April 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Melissa Ann Clark Lpn NPPES

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

MRS. MELISSA ANN CLARK LPN (NPI 1114160199) is an individual licensed practical nurse in Syracuse, New York, licensed in New York (291875) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1114160199

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. MELISSA ANN CLARKCredential: LPN

Location Address113 CHENEY STSyracuse, NY 13207

Mailing Address113 Cheney StSyracuse, NY 13207 · (315) 478-9463

Phone(315) 478-9463

Sole ProprietorNo

Enumeration DateApril 7, 2009

✔ NPI 1114160199 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 · 291875

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.

113 CHENEY ST, Syracuse, NY 13207

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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 Melissa Clark's NPI number?

The NPI number for Melissa Clark is 1114160199. It was assigned to this individual provider in the NPPES registry on April 7, 2009.

Where is Melissa Clark located?

Melissa Clark practices at 113 Cheney St, Syracuse, NY 13207. The listed phone number is (315) 478-9463.

What is Melissa 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 Melissa Clark was last updated on April 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.