Jene Clarke, LPN
Individual provider Active NPI Licensed Practical Nurse · South Amboy, NJ
NPI 1336712157 · NPPES record last updated Jul 20, 2021
Key facts
- NPI
- 1336712157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 26NP07054000 (NJ)
- Practice address
- 1 Main St
South Amboy, NJ 08879-1142 - Phone
- (173) 295-2150
- NPI assigned
- Jul 20, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NP07054000 | NJ | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 26NP07054000 | NJ | Yes |
Addresses
Primary practice location
1 Main St
South Amboy, NJ 08879-1142
Mailing address
1 Main St
South Amboy, NJ 08879-1142
Phone (173) 295-2150
Other providers in South Amboy, NJ
- Jennifer Caswell Adamick
- Chour Chang
- Stephen P Chudkowski
- Joanne Cise
- Crystal Marie Clark
- CMP Group,PC
- Sarah Comis
- Complete Rehab Therapy P C
- Complete Rehab Therapy, P.C
- Rosanne Connolly
All providers in South Amboy, NJ · Licensed Practical Nurse in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.