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Crystal Clark
Licensed Practical Nurse in Winston Salem, North Carolina
NPI 1194391185

Crystal Clark is a Licensed Practical Nurse based in Concord, NC. Crystal Clark practices in Winston Salem, NC. The NPI Number for Crystal Clark is 1194391185 and holds a License No. 091485 (North Carolina).

The current practice location address for Crystal Clark is 650 Highland Ave # 100, Winston Salem, NC and can be reached out via phone at 336-607-8523.

Location: 650 Highland Ave # 100, Winston Salem, NC, 28025-1833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194391185
Provider Name
Crystal Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
650 Highland Ave # 100, Winston Salem, NC, 28025-1833
Phone Number
336-607-8523
Fax Number
Provider Enumeration Date
06/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
650 Highland Ave # 100
City
Winston Salem
State
North Carolina
Zip
27101-4304
Phone Number
336-607-8523
Fax Number
person
Provider Business Mailing Address Details
Address
650 Highland Ave # 100
City
Winston Salem
State
North Carolina
Zip
27101-4304
Phone Number
336-607-8523
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
091485 (North Carolina)
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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