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Jennijo Clark, LPN
Licensed Practical Nurse in Oshkosh, Wisconsin
NPI 1265734354

Jennijo Clark is a Licensed Practical Nurse based in Oshkosh, WI. Jennijo Clark practices in Oshkosh, WI and has the professional credentials of LPN. The NPI Number for Jennijo Clark is 1265734354 and holds a License No. 313347-31 (Wisconsin).

The current practice location address for Jennijo Clark is 402 W South Park Ave, Oshkosh, WI and can be reached out via phone at 920-203-9055. You can also correspond with Jennijo Clark through the mailing address at 402 W SOUTH PARK AVE, OSHKOSH, WI - 54902-6569 (mailing address contact number: 920-203-9055).

Location: 402 W South Park Ave, Oshkosh, WI, 54902-6569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265734354
Provider Name
Jennijo Clark
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
402 W South Park Ave, Oshkosh, WI, 54902-6569
Phone Number
920-203-9055
Fax Number
Provider Enumeration Date
11/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
402 W South Park Ave
City
Oshkosh
State
Wisconsin
Zip
54902-6569
Phone Number
920-203-9055
Fax Number
person
Provider Business Mailing Address Details
Address
402 W South Park Ave
City
Oshkosh
State
Wisconsin
Zip
54902-6569
Phone Number
920-203-9055
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
313347-31 (Wisconsin)
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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