SHARDAE CLARK
NPI 1295103570
Licensed Practical Nurse in Newport, MI

Q: What is Shardae Clark's NPI number?

The NPI number for Shardae Clark is 1295103570. It was assigned to this individual provider in the NPPES registry on September 3, 2015.

Q: What is Shardae 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 Shardae Clark was last updated on September 3, 2015. 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.

Active since September 03, 2015

4127 STONE POST RD, NEWPORT, MI 48166(313) 247-9493 Get Directions Write a Review

NPPES record last updated: September 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shardae Clark NPPES

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

SHARDAE CLARK (NPI 1295103570) is an individual licensed practical nurse in Newport, Michigan, licensed in Michigan (4708311201) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1295103570

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSHARDAE CLARK

Location Address4127 STONE POST RDNewport, MI 48166-7830

Mailing Address4127 Stone Post RdNewport, MI 48166-7830 · (313) 247-9493

Phone(313) 247-9493

Sole ProprietorNo

Enumeration DateSeptember 3, 2015

✔ NPI 1295103570 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 MI · 4708311201

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.

4127 STONE POST RD, Newport, MI 48166

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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 Shardae Clark's NPI number?

The NPI number for Shardae Clark is 1295103570. It was assigned to this individual provider in the NPPES registry on September 3, 2015.

Where is Shardae Clark located?

Shardae Clark practices at 4127 Stone Post Rd, Newport, MI 48166. The listed phone number is (313) 247-9493.

What is Shardae 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 Shardae Clark was last updated on September 3, 2015. 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.