MS. LONNA MARIE CLARK (NPI# 1730430307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730430307 |
| Entity Type | Individual |
| Full Name | MS. LONNA MARIE CLARK |
| Credential | LPN |
| Practice Address |
640 Holiday Dr Mansfield OH 44904-1819 |
| Practice Telephone | 4195712545 |
| Mailing Telephone | 4195712545 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN054675 | OH | Nursing Service Providers |
| Street Address |
640 HOLIDAY DR |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44904-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770961740 | Lisa D Patterson | Nurse Practitioner | 375 Lexington Avenue, Mansfield, OH 44904 | 2015-05-11 |
| 1285970871 | Carrie Ann Northover | Licensed Practical Nurse | 9288 State Route 314, Mansfield, OH 44904 | 2012-12-31 |
| 1902035413 | Charme A Carroll | Licensed Practical Nurse | 8235 St Rt 314, Lexington, OH 44904 | 2009-07-06 |
| 1851577076 | Rite Aid of Ohio Inc | Durable Medical Equipment & Medical Supplies | 355 East Main Street, Lexington, OH 44904 | 2008-01-17 |
| 1447462593 | Bonnie Lee Wilson | Licensed Practical Nurse | 1212 Hanley Rd W, Mansfield, OH 44904 | 2007-05-03 |
| 1245450220 | Rebecca Annette Eusey | Chore Provider | 91 West Main, Lexington, OH 44904 | 2007-05-01 |
| 1891815148 | Karen Lee Watkins | Licensed Practical Nurse | 780 W Straub Rd, Apt 1a, Mansfield, OH 44904 | 2007-03-30 |
| 1134220817 | Richard Alan Brunner | Psychologist | 35104 Euclid Av, Suite 203, Willoughby, OH 44904 | 2006-09-26 |
| 1427064518 | Cary A Craner | Chiropractor | 2754 Lexington Ave, Lexington, OH 44904 | 2006-07-31 |
| 1073570537 | Christopher E. Shewan | Optometrist | 35 Plymouth St, Lexington, OH 44904 | 2006-04-27 |
| Find all providers in zip 44904 | ||||
| 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 |
|---|---|---|---|---|
| 1083227607 | Bridgette Lynette Litton | Licensed Practical Nurse | 1037 Highland Dr, Mansfield, LA 71052-4809 | 2020-08-24 |
| 1174149637 | Brianna Stephens | Licensed Practical Nurse | 1574 Osbun Rd, Mansfield, OH 44903-9759 | 2020-06-21 |
| 1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
| 1346875820 | Theresa Emua Ihionkhan | Licensed Practical Nurse | 1800 Buddy Davis Ln, Mansfield, TX 76063-5972 | 2020-03-05 |
| 1811520604 | Chameria Nicole Taylor | Licensed Practical Nurse | 1585 Middle Bellville Rd, Mansfield, OH 44904-1911 | 2020-02-20 |
| 1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
| 1578101838 | Laneace Kay Thigpen | Licensed Practical Nurse | 1033 Fairfax Ave, Mansfield, OH 44906-1635 | 2019-12-18 |
| 1497396675 | Caroline Bosibori Birai | Licensed Practical Nurse | 710 Boone Trl, Mansfield, TX 76063-3414 | 2019-09-30 |
| 1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
| 1427612696 | Mackenzie Taylor Sipes | Licensed Practical Nurse | 1672 Park Ave E, Mansfield, OH 44905-2916 | 2019-04-23 |
| Find all providers in MANSFIELD | ||||
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| 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.