Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jacqueline Ruth Clark, LPN

Individual provider Licensed Practical Nurse · NPI 1407008287

Mrs. Jacqueline Ruth Clark, LPN is a Licensed Practical Nurse in Columbia Station, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2008
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

26308 Crocker Rd
Columbia Station, OH 44028-9301
Phone: (440) 374-6063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN. 107698 (OH)

Record details

NPI number1407008287
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedOctober 13, 2008
Last updated in NPPESOctober 13, 2008

Other providers in Columbia Station