MRS. CAROL LACESHIA CLARK LPN
NPI 1487432449
Licensed Practical Nurse in Jackson, SC

Active since September 20, 2023
139 PAULINE ST, JACKSON, SC 29831(803) 450-6770 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Carol Laceshia Clark Lpn NPPES

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

MRS. CAROL LACESHIA CLARK LPN (NPI 1487432449) is an individual licensed practical nurse in Jackson, South Carolina, licensed in South Carolina (46401) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1487432449
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. CAROL LACESHIA CLARKCredential: LPN
Location Address139 PAULINE STJackson, SC 29831-3136
Mailing Address139 Pauline StJackson, SC 29831-3136 · (803) 450-6770
Sole ProprietorYes
Enumeration DateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
NPI 1487432449 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 SC · 46401
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.

139 PAULINE ST, Jackson, SC 29831

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 Carol Clark's NPI number?

The NPI number for Carol Clark is 1487432449. It was assigned to this individual provider in the NPPES registry on September 20, 2023.

Where is Carol Clark located?

Carol Clark practices at 139 Pauline St, Jackson, SC 29831. The listed phone number is (803) 450-6770.

What is Carol 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 Carol Clark was last updated on September 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.