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MRS. JACQUELYN IRENE CLARK LPN
NPI 1467503334
Licensed Practical Nurse in Sardis, OH

Active since January 16, 2007
48696 BENWOOD RD, SARDIS, OH 43946(740) 483-2249 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jacquelyn Irene Clark Lpn NPPES

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

MRS. JACQUELYN IRENE CLARK LPN (NPI 1467503334) is an individual licensed practical nurse in Sardis, Ohio, licensed in Ohio (PN091690) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1467503334
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. JACQUELYN IRENE CLARKCredential: LPN
Location Address48696 BENWOOD RDSardis, OH 43946-9638
Mailing Address48696 Benwood RdSardis, OH 43946-9638 · (740) 483-2249
Phone(740) 483-2249
Sole ProprietorYes
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1467503334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Licenses✔ Licensed in OH · PN091690✔ Licensed in WV · 12185
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.
48696 BENWOOD RD, Sardis, OH 43946
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Other Identifiers 1

Medicaid2564130OH

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 Jacquelyn Clark's NPI number?

The NPI number for Jacquelyn Clark is 1467503334. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Jacquelyn Clark located?

Jacquelyn Clark practices at 48696 Benwood Rd, Sardis, OH 43946. The listed phone number is (740) 483-2249.

What is Jacquelyn 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 Jacquelyn Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.