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CRYSTAL DAWN CLARK LPN
NPI 1942503198
Licensed Practical Nurse in Wheelersburg, OH

Active since December 09, 2010
28 B MILLER ROAD, WHEELERSBURG, OH 45694(740) 285-6493 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crystal Dawn Clark Lpn NPPES

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

CRYSTAL DAWN CLARK LPN (NPI 1942503198) is an individual licensed practical nurse in Wheelersburg, Ohio, licensed in Ohio (142164) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1942503198
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCRYSTAL DAWN CLARKCredential: LPN
Location Address28 B MILLER ROADWheelersburg, OH 45694-8103
Mailing AddressPo Box 656Wheelersburg, OH 45694-0656 · (740) 285-6493
Phone(740) 285-6493
Sole ProprietorYes
Enumeration DateDecember 9, 2010
Last NPPES UpdateOctober 13, 2014
✔ NPI 1942503198 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 OH · 142164
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.
28 B MILLER ROAD, Wheelersburg, OH 45694
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Other Identifiers 1

Medicaid3146303OH

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 Crystal Clark's NPI number?

The NPI number for Crystal Clark is 1942503198. It was assigned to this individual provider in the NPPES registry on December 9, 2010.

Where is Crystal Clark located?

Crystal Clark practices at 28 B Miller Road, Wheelersburg, OH 45694. The listed phone number is (740) 285-6493.

What is Crystal 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 Crystal Clark was last updated on October 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.