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

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