Alison M Clarke, LPN
Individual provider Active NPI Licensed Practical Nurse · Christopher, IL
NPI 1831677095 · NPPES record last updated Jul 31, 2018
Key facts
- NPI
- 1831677095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 043124741 (IL)
- Practice address
- 4241 Highway 14 W
Christopher, IL 62822-1037 - Phone
- (618) 724-2401
- NPI assigned
- Jul 31, 2018
- 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 |
|---|---|---|---|
| 043124741 | IL | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 043124741 | IL | Yes |
Addresses
Primary practice location
4241 Highway 14 W
Christopher, IL 62822-1037
Mailing address
4241 Highway 14 W
Christopher, IL 62822-1037
Other providers in Christopher, IL
- Christopher Greater Area Rural Health Planning Corporation
- Christopher Greater Area Rural Health Planning Corporation
- Christopher Greater Area Rural Health Planning Corporation
- Christopher Unit SCH Dist 99
- Trinden Clark
- Sherry Collier
- Victoria Nicole Compa
- James Corzine
- Kortney Crawford
- Juliana Cruz
All providers in Christopher, IL · Licensed Practical Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2018. 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.