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Ms. Nicole Christine Clark, LPN
Licensed Practical Nurse in Syracuse, New York
NPI 1982767604

Nicole Christine Clark is a Licensed Practical Nurse based in Syracuse, NY. Nicole Christine Clark practices in Syracuse, NY and has the professional credentials of LPN. The NPI Number for Nicole Christine Clark is 1982767604 and holds a License No. 251148-1 (New York).

The current practice location address for Nicole Christine Clark is 241 Lorraine Ave, Syracuse, NY and can be reached out via phone at 315-863-5885. You can also correspond with Nicole Christine Clark through the mailing address at 241 LORRAINE AVE, SYRACUSE, NY - 13210-3229 (mailing address contact number: 315-863-5885).

Location: 241 Lorraine Ave, Syracuse, NY, 13210-3229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982767604
Provider Name
Nicole Christine Clark
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
241 Lorraine Ave, Syracuse, NY, 13210-3229
Phone Number
315-863-5885
Fax Number
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02120758 05 NY
institution
Provider Business Practice Location Address Details
Address
241 Lorraine Ave
City
Syracuse
State
New York
Zip
13210-3229
Phone Number
315-863-5885
Fax Number
person
Provider Business Mailing Address Details
Address
241 Lorraine Ave
City
Syracuse
State
New York
Zip
13210-3229
Phone Number
315-863-5885
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
251148-1 (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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