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Tymir Shakeer Clark
Licensed Practical Nurse in Philadelphia, Pennsylvania
NPI 1588126239

Tymir Shakeer Clark is a Licensed Practical Nurse based in Philadelphia, PA. Tymir Shakeer Clark practices in Philadelphia, PA. The NPI Number for Tymir Shakeer Clark is 1588126239 and holds a License No. PN307634 (Pennsylvania).

The current practice location address for Tymir Shakeer Clark is 2219 Edgley St, Philadelphia, PA and can be reached out via phone at 267-258-9167.

Location: 2219 Edgley St, Philadelphia, PA, 19121-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588126239
Provider Name
Tymir Shakeer Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
2219 Edgley St, Philadelphia, PA, 19121-1300
Phone Number
267-258-9167
Fax Number
Provider Enumeration Date
04/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2219 Edgley St
City
Philadelphia
State
Pennsylvania
Zip
19121-1300
Phone Number
267-258-9167
Fax Number
person
Provider Business Mailing Address Details
Address
2219 Edgley St
City
Philadelphia
State
Pennsylvania
Zip
19121-1300
Phone Number
267-258-9167
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN307634 (Pennsylvania)
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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