| Shardae Clark, | |
|
4127 Stone Post Rd, Newport, MI 48166-7830 | |
| (313) 247-9493 | |
| Not Available |
| Full Name | Shardae Clark |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 4127 Stone Post Rd, Newport, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295103570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4708311201 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shardae Clark, 4127 Stone Post Rd, Newport, MI 48166-7830 Ph: (313) 247-9493 | Shardae Clark, 4127 Stone Post Rd, Newport, MI 48166-7830 Ph: (313) 247-9493 |
Sonja Marie Baker, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9854 N Dixie Hwy, Newport, MI 48166 Phone: 734-625-9948 | |
Ms. Amber Jenkins, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4814 Sycamore Rd, Newport, MI 48166 Phone: 734-497-2715 |