| Brandi Clark, LPN | |
|
3086 State Route 160, Gallipolis, OH 45631-8409 | |
| (740) 446-5500 | |
| (740) 446-4951 |
| Full Name | Brandi Clark |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 3086 State Route 160, Gallipolis, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154780021 | NPI | - | NPPES |
| 0200820 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN.124270-M-IV (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brandi Clark, LPN 3086 State Route 160, Gallipolis, OH 45631-8409 Ph: (740) 446-5500 | Brandi Clark, LPN 3086 State Route 160, Gallipolis, OH 45631-8409 Ph: (740) 446-5500 |
Allie J Moore, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3086 State Route 160, Gallipolis, OH 45631 Phone: 740-446-5500 Fax: 740-446-4951 | |
Keirsten Adkins, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3086 Sr 160, Gallipolis, OH 45631 Phone: 740-446-5500 Fax: 740-446-4951 | |
Emily M Walker, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3086 Sr 160, Gallipolis, OH 45631 Phone: 740-446-5500 Fax: 740-446-4951 | |
Jessica I. Zigler, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3086 Sr 160, Gallipolis, OH 45631 Phone: 740-446-5500 | |
Hannah Williams, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3086 State Route 160, Gallipolis, OH 45631 Phone: 740-446-5500 Fax: 740-446-4951 | |
Jessica R Blanton, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3086 Sr 160, Gallipolis, OH 45631 Phone: 740-446-5500 Fax: 740-446-4951 |