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Erica Dominique Clack
Licensed Vocational Nurse in San Augustine, Texas
NPI 1639734502

Erica Dominique Clack is a Licensed Vocational Nurse based in San Augustine, TX. Erica Dominique Clack practices in San Augustine, TX. The NPI Number for Erica Dominique Clack is 1639734502 and holds a License No. 319226 (Texas).

The current practice location address for Erica Dominique Clack is 406 E Planters St, San Augustine, TX and can be reached out via phone at 936-201-2132.

Location: 406 E Planters St, San Augustine, TX, 75972-2140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639734502
Provider Name
Erica Dominique Clack
Credential
Provider Entity Type
Individual
Gender
Female
Address
406 E Planters St, San Augustine, TX, 75972-2140
Phone Number
936-201-2132
Fax Number
Provider Enumeration Date
05/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
406 E Planters St
City
San Augustine
State
Texas
Zip
75972-2140
Phone Number
936-201-2132
Fax Number
person
Provider Business Mailing Address Details
Address
406 E Planters St
City
San Augustine
State
Texas
Zip
75972-2140
Phone Number
936-201-2132
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
319226 (Texas)
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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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