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Shanna G Clark, LPN
Licensed Practical Nurse in Fort Edward, New York
NPI 1831442698

Shanna G Clark is a Licensed Practical Nurse based in Fort Edward, NY. Shanna G Clark practices in Fort Edward, NY and has the professional credentials of LPN. The NPI Number for Shanna G Clark is 1831442698 and holds a License No. 277227 (New York).

The current practice location address for Shanna G Clark is 130 White Birch Est, Fort Edward, NY and can be reached out via phone at 518-415-8643.

Location: 130 White Birch Est, Fort Edward, NY, 12828-9275
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831442698
Provider Name
Shanna G Clark
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
130 White Birch Est, Fort Edward, NY, 12828-9275
Phone Number
518-415-8643
Fax Number
Provider Enumeration Date
10/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 White Birch Est
City
Fort Edward
State
New York
Zip
12828-9275
Phone Number
518-415-8643
Fax Number
person
Provider Business Mailing Address Details
Address
130 White Birch Est
City
Fort Edward
State
New York
Zip
12828-9275
Phone Number
518-415-8643
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
277227 (New York)
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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