AUTUMN CONLEY-CLARK LPN
NPI 1740990910
Licensed Practical Nurse in Mansfield, OH
- Individual
- Female
- Licensed Practical Nurse
About AUTUMN CONLEY-CLARK
This page provides the complete NPI Profile along with additional information for Autumn Conley-clark, a provider established in Mansfield, Ohio with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1740990910 assigned on November 2022. The practitioner's primary taxonomy code is 164W00000X with license number LPN.124514 (OH). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1740990910 Verify this NPI
- Provider Name
- AUTUMN CONLEY-CLARK LPN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1025 S TRIMBLE RD MANSFIELD, OH 44906
- Location Phone
- (419) 529-4602
- Mailing Address
- 2011 WILLOWOOD CT ONTARIO, OH 44906
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-29-2022
- Last Update Date
- 11-29-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- LPN.124514
- License State
- OH
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
MANSFIELD, OH 44906
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740990910, enumerated as an "individual" on November 29, 2022.
The provider is located at 1025 S TRIMBLE RD MANSFIELD, OH 44906 and the phone number is (419) 529-4602.
Licensed Practical Nurse with taxonomy code 164W00000X.
