person
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
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
State
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
State
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
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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