Search › Ohio › 164W00000X
Jacquelyn Clark, LPN
NPI 1467503334 · on the registry since 2007 · sole proprietor
Practice
- Address
- 48696 Benwood Rd
Sardis, OH 43946 - Phone
- (740) 483-2249
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Also registered as
- 164W00000X
- Licence states on file
- OH, WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio