JENNIJO CLARK, LPN

Licensed Practical Nurse

Active Individual
NPI: 1265734354

Practice Address

402 W SOUTH PARK AVE
Oshkosh, WI 54902

Phone: (920) 203-9055

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 313347-31 (WI)

Frequently Asked Questions

NPI 1265734354 is the National Provider Identifier for JENNIJO CLARK, LPN, a Licensed Practical Nurse provider located in Oshkosh, WI. This NPI was enumerated on November 23, 2010.
JENNIJO CLARK, LPN practices at 402 W SOUTH PARK AVE, Oshkosh, WI 54902.

Quick Facts

NPI
1265734354
Type
Individual
Enumerated
Nov 23, 2010
Last Updated
Nov 23, 2010

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