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

Shanna G Clark, LPN

Individual provider Licensed Practical Nurse · NPI 1831442698

Shanna G Clark, LPN is a Licensed Practical Nurse in Fort Edward, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2012
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

130 White Birch Est
Fort Edward, NY 12828-9275
Phone: (518) 415-8643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 357 Milton Ave, Ballston Spa, NY 12020-1441 — (518) 491-2806

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 277227 (NY)

Record details

NPI number1831442698
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedOctober 18, 2012
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020

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