ERICA DOMINIQUE CLACK
NPI 1639734502
Licensed Vocational Nurse in San Augustine, TX

Q: What is Erica Clack's NPI number?

The NPI number for Erica Clack is 1639734502. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Q: What is Erica Clack's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Erica Clack was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 May 07, 2019

406 E PLANTERS ST, SAN AUGUSTINE, TX 75972(936) 201-2132 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Erica Dominique Clack NPPES

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

ERICA DOMINIQUE CLACK (NPI 1639734502) is an individual licensed vocational nurse in San Augustine, Texas, licensed in Texas (319226) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1639734502

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameERICA DOMINIQUE CLACK

Location Address406 E PLANTERS STSan Augustine, TX 75972-2140

Mailing Address406 E Planters StSan Augustine, TX 75972-2140 · (936) 201-2132

Phone(936) 201-2132

Sole ProprietorNo

Enumeration DateMay 7, 2019

✔ NPI 1639734502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in TX · 319226

Definition

A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

406 E PLANTERS ST, San Augustine, TX 75972

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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 Erica Clack's NPI number?

The NPI number for Erica Clack is 1639734502. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Erica Clack located?

Erica Clack practices at 406 E Planters St, San Augustine, TX 75972. The listed phone number is (936) 201-2132.

What is Erica Clack's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Erica Clack was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.