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BRANDI CLARK LPN
NPI 1154780021
Licensed Practical Nurse in Gallipolis, OH

Active since February 19, 2016
3086 STATE ROUTE 160, GALLIPOLIS, OH 45631(740) 446-5500(740) 446-4951 Get Directions Write a Review

NPPES record last updated: February 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandi Clark Lpn NPPES

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

BRANDI CLARK LPN (NPI 1154780021) is an individual licensed practical nurse in Gallipolis, Ohio, licensed in Ohio (PN.124270-M-IV) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1154780021
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBRANDI CLARKCredential: LPN
Location Address3086 STATE ROUTE 160Gallipolis, OH 45631-8409
Mailing Address3086 State Route 160Gallipolis, OH 45631-8409 · (740) 446-5500 · Fax (740) 446-4951
Phone(740) 446-5500
Fax(740) 446-4951
Sole ProprietorNo
Enumeration DateFebruary 19, 2016
✔ NPI 1154780021 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 OH · PN.124270-M-IV
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.
3086 STATE ROUTE 160, Gallipolis, OH 45631
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Other Identifiers 1

Medicaid0200820OH

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HALEY MARCUM
Case Manager/Care Coordinator
3086 STATE ROUTE 160
GALLIPOLIS, OH 45631
Gallia County (740) 446-5500
VERONICA J RIVERS LSW
Social Worker (Clinical)
3086 STATE ROUTE 160
GALLIPOLIS, OH 45631
Gallia County (740) 446-5500
REBECCA ASHBURN
Counselor (Addiction (Substance Use Disorder))
3086 STATE ROUTE 160
GALLIPOLIS, OH 45631
Gallia County (740) 446-5500
WOODLAND CENTERS, INC.
Case Management
3086 STATE ROUTE 160
GALLIPOLIS, OH 45631
Gallia County (740) 446-5500
AMANDA BRUMFIELD
Counselor (Mental Health)
3086 STATE ROUTE 160
GALLIPOLIS, OH 45631
Gallia County (740) 446-5500
ALLIE J MOORE LPN
Licensed Practical Nurse
3086 STATE ROUTE 160
GALLIPOLIS, OH 45631
Gallia County (740) 446-5500
HAYLEY HAYNES
Psychologist
3086 STATE ROUTE 160
GALLIPOLIS, OH 45631
Gallia County (740) 446-5500
CATHY MURPHY QMHS
Behavior Analyst
3086 STATE ROUTE 160
GALLIPOLIS, OH 45631
Gallia County (740) 446-5500

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 Brandi Clark's NPI number?

The NPI number for Brandi Clark is 1154780021. It was assigned to this individual provider in the NPPES registry on February 19, 2016.

Where is Brandi Clark located?

Brandi Clark practices at 3086 State Route 160, Gallipolis, OH 45631. The listed phone number is (740) 446-5500.

What is Brandi 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 Brandi Clark was last updated on February 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.