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Mrs. Carol Laceshia Clark, LPN
Licensed Practical Nurse in Jackson, South Carolina
NPI 1487432449

Carol Laceshia Clark is a Licensed Practical Nurse based in Jackson, SC. Carol Laceshia Clark practices in Jackson, SC and has the professional credentials of LPN. The NPI Number for Carol Laceshia Clark is 1487432449 and holds a License No. 46401 (South Carolina).

The current practice location address for Carol Laceshia Clark is 139 Pauline St, Jackson, SC and can be reached out via phone at 803-450-6770.

Location: 139 Pauline St, Jackson, SC, 29831-3136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487432449
Provider Name
Carol Laceshia Clark
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
139 Pauline St, Jackson, SC, 29831-3136
Phone Number
803-450-6770
Fax Number
Provider Enumeration Date
09/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
139 Pauline St
City
Jackson
State
South Carolina
Zip
29831-3136
Phone Number
803-450-6770
Fax Number
person
Provider Business Mailing Address Details
Address
139 Pauline St
City
Jackson
State
South Carolina
Zip
29831-3136
Phone Number
803-450-6770
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
46401 (South 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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