SHANNA G CLARK LPN
NPI 1831442698
Licensed Practical Nurse in Fort Edward, NY
- Individual
- Female
- Licensed Practical Nurse
About SHANNA CLARK
This page provides the complete NPI Profile along with additional information for Shanna Clark, a provider established in Fort Edward, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1831442698 assigned on October 2012. The practitioner's primary taxonomy code is 164W00000X with license number 277227 (NY). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1831442698 Verify this NPI
- Provider Name
- SHANNA G CLARK LPN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 130 WHITE BIRCH EST FORT EDWARD, NY 12828
- Location Phone
- (518) 415-8643
- Mailing Address
- 130 WHITE BIRCH EST FORT EDWARD, NY 12828
- Mailing Phone
- (518) 415-8643
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-18-2012
- Last Update Date
- 10-28-2020
- Code Navigator
Location Map
Secondary Locations
- 357 Milton Ave
Ballston Spa, NY 12020
(518) 491-2806
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.
- 277227
- License State
- NY
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831442698, enumerated as an "individual" on October 18, 2012.
The provider is located at 130 WHITE BIRCH EST FORT EDWARD, NY 12828 and the phone number is (518) 415-8643.
Licensed Practical Nurse with taxonomy code 164W00000X.
