MRS. ANTOINETTE SOPHIA CLARK (NPI# 1902089717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902089717 |
| Entity Type | Individual |
| Full Name | MRS. ANTOINETTE SOPHIA CLARK |
| Credential | LPN |
| Practice Address |
106 N Water St Georgetown OH 45121-1332 |
| Practice Telephone | 5135024772 |
| Mailing Telephone | 5135024772 |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2014-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 150730 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659836054 | Antoinette Yvette Clark | Behavior Technician | 227 W Ercoupe Dr, Midwest City, OK 73110-5515 | 2019-02-10 |
| 1629105200 | Antoinette Clark | Counselor | 3809 Rosewood Dr, Columbia, SC 29205-3533 | 2007-02-28 |
| Street Address |
106 N WATER ST |
| City | GEORGETOWN |
| State | OH |
| Zip Code | 45121-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417324609 | Jennifer A Shaw | Psychologist | 9231 Hamer Road, Brown County Educational Service Center, Georgetown, OH 45121 | 2015-08-24 |
| 1760880926 | Ashley Marcia Gardner-attinger | Personal Emergency Response Attendant | 9321-b Hamer Rd, Georgetown, OH 45121 | 2014-12-19 |
| 1447686753 | Ivan D Mcfann Jr. | Licensed Practical Nurse | 10778 Rolling Acres Drive, Georgetown, OH 45121 | 2013-09-18 |
| 1851651798 | Pamela J Kelch | Registered Nurse | 17 Wood Cliff Way, Georgetown, OH 45121 | 2012-05-25 |
| 1194027557 | Adams Brown Counties Economic Oppt Inc | Clinic/Center | 406 W. Plum Street, Georgetown, OH 45121 | 2010-11-17 |
| 1255590972 | Nancy Taylor | Home Health Aide | 201 Meadow Spring Dr, Georgetown, OH 45121 | 2008-06-06 |
| 1770796658 | Gwen S Courts | Counselor | 12525 New Hope White Oak Station Rd, Georgetown, OH 45121 | 2007-05-08 |
| 1770511511 | Southern Ohio Health Services Network | Obstetrics & Gynecology | 5162 St. Rt. 125, Georgetown, OH 45121 | 2006-06-29 |
| 1073513206 | Georgetown Volunteer Life Squad Association | Ambulance | 821 Mt. Orab Pike, Georgetown, OH 45121 | 2005-07-29 |
| 1700881653 | Ene G George | Obstetrics & Gynecology | 5162 St Rt, Georgetown, OH 45121 | 2005-06-16 |
| Find all providers in zip 45121 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| 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. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922584309 | Donna Egolf | Licensed Practical Nurse | 21150 Airport Rd, Georgetown, DE 19947-5573 | 2018-07-18 |
| 1447610308 | Felicia Cromedy | Licensed Practical Nurse | 264 Handy Hill Dr, Georgetown, SC 29440-6049 | 2016-03-03 |
| 1568868677 | Marcia Ann Coye | Licensed Practical Nurse | 1062 State Route 26, Georgetown, NY 13072-6615 | 2014-11-17 |
| 1033537279 | Devon Renee Carrington | Licensed Practical Nurse | 10332 Us Highway 68, Georgetown, OH 45121-8889 | 2014-04-04 |
| 1447686753 | Ivan D Mcfann Jr. | Licensed Practical Nurse | 10778 Rolling Acres Drive, Georgetown, OH 45121 | 2013-09-18 |
| 1982953667 | Brianne Elizabeth Kirker | Licensed Practical Nurse | 309 Andrews Ave, Georgetown, OH 45121-1003 | 2012-09-10 |
| 1588976799 | Teresa Stenger | Licensed Practical Nurse | 607 E Grant Ave, Georgetown, OH 45121-9488 | 2010-07-06 |
| 1427388123 | Laura Lee Olin | Licensed Practical Nurse | 3991 Mill Rd, Georgetown, NY 13072-3121 | 2010-01-04 |
| 1982933677 | Cynthia Lou Martin | Licensed Practical Nurse | 238 Upham Rd, Georgetown, NY 13072-3179 | 2009-12-09 |
| 1285969261 | Lorria Lewis | Licensed Practical Nurse | 5582 Wahlsburg East Rd, Georgetown, OH 45121-9246 | 2009-10-08 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 45121 |
Please comment or provide details below to improve the information on MRS. ANTOINETTE SOPHIA CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.