IndividualActive
Jennifer Clark
NPI 1609576602 · Licensed Practical Nurse · Knoxville, IA
Provider details
- NPI number
- 1609576602
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- P37588 (IA)
Specialties & taxonomies
Nursing Service Providers
Practice location
1607 N Lincoln St
Knoxville, IA 50138-3455
Phone: (641) 828-5019
Approximate (ZIP-level) locationGet directions
Mailing address
1607 N Lincoln St
Knoxville, IA 50138-3455
Registry dates
- Enumerated
- 2023-03-08
- Last updated
- 2023-03-08
- Certified
- 2023-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.