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

Shana Clark, LPN

Individual provider Licensed Practical Nurse · NPI 1528783172

Shana Clark, LPN is a Licensed Practical Nurse in Watertown, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2022
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

211 Jb Wise Pl
Watertown, NY 13601-2507
Phone: (315) 782-7445
Fax: (315) 779-1184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1704 State St, Watertown, NY 13601-3102 — (315) 788-7430

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 329830 (NY)

Record details

NPI number1528783172
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedOctober 6, 2022
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022

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