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

Tymir Shakeer Clark

Individual provider Licensed Practical Nurse · NPI 1588126239

Tymir Shakeer Clark is a Licensed Practical Nurse in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2019

Practice location Address checks out

2219 Edgley St
Philadelphia, PA 19121-1300
Phone: (267) 258-9167
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 PN307634 (PA)

Record details

NPI number1588126239
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 2, 2019
Last updated in NPPESApril 2, 2019
Mailing address2219 Edgley St, Philadelphia, PA 19121-1300

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