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SHANA CLARK LPN
NPI 1528783172
Licensed Practical Nurse in Watertown, NY

Active since October 06, 2022
211 JB WISE PL, WATERTOWN, NY 13601(315) 782-7445(315) 779-1184 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shana Clark Lpn NPPES

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

SHANA CLARK LPN (NPI 1528783172) is an individual licensed practical nurse in Watertown, New York, licensed in New York (329830) and active in the NPI registry since October 2022. She maintains a secondary practice location in Watertown.

NPPES Registry Identity

NPI1528783172
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHANA CLARKCredential: LPN
Location Address211 JB WISE PLWatertown, NY 13601-2507
Mailing AddressPo Box 6550Watertown, NY 13601-6550 · (315) 782-7445 · Fax (315) 779-1184
Phone(315) 782-7445
Fax(315) 779-1184
Sole ProprietorNo
Enumeration DateOctober 6, 2022
NPPES CertifiedOctober 6, 2022
✔ NPI 1528783172 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 NY · 329830
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.
211 JB WISE PL, Watertown, NY 13601
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Secondary Practice Location 1

Location 11704 State StWatertown, NY 13601-3102 · Phone (315) 788-7430 · Fax (315) 779-1184

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.

ABBIGAIL F CARROLL LPN
Licensed Practical Nurse
211 JB WISE PL
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
BRIONNA BALL
Art Therapist
211 JB WISE PL
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
JAMES GARRISON
Counselor (Mental Health)
211 JB WISE PL
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
RACHEL CHURCHILL
Counselor (Mental Health)
211 JB WISE PL
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
STEFANIE FERRELL
Counselor (Mental Health)
211 JB WISE PL
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
CASSANDRA FICHTHORN
Social Worker
211 JB WISE PL
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
DELANEY VANNEST
Social Worker (Clinical)
211 JB WISE PL
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
BENETTA KOKO DOUSUAH
Social Worker
211 JB WISE PL
WATERTOWN, NY 13601
Jefferson County (315) 782-7445

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 Shana Clark's NPI number?

The NPI number for Shana Clark is 1528783172. It was assigned to this individual provider in the NPPES registry on October 6, 2022.

Where is Shana Clark located?

Shana Clark practices at 211 Jb Wise Pl, Watertown, NY 13601. The listed phone number is (315) 782-7445.

What is Shana 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 Shana Clark was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.