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CHARLENE M CLARK LPN
NPI 1669804886
Licensed Practical Nurse in Brentwood, NY

Active since July 31, 2013
27 HEYWARD ST, BRENTWOOD, NY 11717(631) 273-1439 Get Directions Write a Review

NPPES record last updated: July 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charlene M Clark Lpn NPPES

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

CHARLENE M CLARK LPN (NPI 1669804886) is an individual licensed practical nurse in Brentwood, New York, licensed in New York (289760) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1669804886
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCHARLENE M CLARKCredential: LPN
Location Address27 HEYWARD STBrentwood, NY 11717-1909
Mailing Address27 Heyward StBrentwood, NY 11717-1909 · (631) 273-1439
Phone(631) 273-1439
Sole ProprietorYes
Enumeration DateJuly 31, 2013
✔ NPI 1669804886 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 · 289760
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.
27 HEYWARD ST, Brentwood, NY 11717
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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 Charlene Clark's NPI number?

The NPI number for Charlene Clark is 1669804886. It was assigned to this individual provider in the NPPES registry on July 31, 2013.

Where is Charlene Clark located?

Charlene Clark practices at 27 Heyward St, Brentwood, NY 11717. The listed phone number is (631) 273-1439.

What is Charlene 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 Charlene Clark was last updated on July 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.