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Brandi Clark, LPN
Licensed Practical Nurse in Gallipolis, Ohio
NPI 1154780021

Brandi Clark is a Licensed Practical Nurse based in Gallipolis, OH. Brandi Clark practices in Gallipolis, OH and has the professional credentials of LPN. The NPI Number for Brandi Clark is 1154780021 and holds a License No. PN.124270-M-IV (Ohio).

The current practice location address for Brandi Clark is 3086 State Route 160, Gallipolis, OH and can be reached out via phone at 740-446-5500 and via fax at 740-446-4951.

Location: 3086 State Route 160, Gallipolis, OH, 45631-8409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154780021
Provider Name
Brandi Clark
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
3086 State Route 160, Gallipolis, OH, 45631-8409
Phone Number
740-446-5500
Fax Number
740-446-4951
Provider Enumeration Date
02/19/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0200820 05 OH
institution
Provider Business Practice Location Address Details
Address
3086 State Route 160
City
Gallipolis
State
Ohio
Zip
45631-8409
Phone Number
740-446-5500
Fax Number
740-446-4951
person
Provider Business Mailing Address Details
Address
3086 State Route 160
City
Gallipolis
State
Ohio
Zip
45631-8409
Phone Number
740-446-5500
Fax Number
740-446-4951
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN.124270-M-IV (Ohio)
Definition
An individual 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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