MACIE CLARK, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1497238612
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 043125988 (IL) |
Frequently Asked Questions
NPI 1497238612 is the National Provider Identifier for MACIE CLARK, LPN, a Licensed Practical Nurse provider located in Du Quoin, IL. This NPI was enumerated on September 13, 2018.
MACIE CLARK, LPN practices at 1564 S WASHINGTON ST, Du Quoin, IL 62832.
Quick Facts
- NPI
- 1497238612
- Type
- Individual
- Enumerated
- Sep 13, 2018
- Last Updated
- Sep 13, 2018
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