JENNIJO CLARK LPN
NPI 1265734354
Licensed Practical Nurse in Oshkosh, WI

Q: What is Jennijo Clark's NPI number?

The NPI number for Jennijo Clark is 1265734354. It was assigned to this individual provider in the NPPES registry on November 23, 2010.

Q: What is Jennijo 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 Jennijo Clark was last updated on November 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 November 23, 2010

402 W SOUTH PARK AVE, OSHKOSH, WI 54902(920) 203-9055 Get Directions Write a Review

NPPES record last updated: November 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennijo Clark Lpn NPPES

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

JENNIJO CLARK LPN (NPI 1265734354) is an individual licensed practical nurse in Oshkosh, Wisconsin, licensed in Wisconsin (313347-31) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1265734354

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJENNIJO CLARKCredential: LPN

Location Address402 W SOUTH PARK AVEOshkosh, WI 54902-6569

Mailing Address402 W South Park AveOshkosh, WI 54902-6569 · (920) 203-9055

Phone(920) 203-9055

Sole ProprietorYes

Enumeration DateNovember 23, 2010

✔ NPI 1265734354 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 WI · 313347-31

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.

402 W SOUTH PARK AVE, Oshkosh, WI 54902

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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 Jennijo Clark's NPI number?

The NPI number for Jennijo Clark is 1265734354. It was assigned to this individual provider in the NPPES registry on November 23, 2010.

Where is Jennijo Clark located?

Jennijo Clark practices at 402 W South Park Ave, Oshkosh, WI 54902. The listed phone number is (920) 203-9055.

What is Jennijo 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 Jennijo Clark was last updated on November 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.