Individual provider · Type 1 NPI

John R. Clark

Licensed Practical Nurse · Oswego, NY

NPI number 1548485097 Active

Practice location

64 E Mohawk St
Oswego, NY 13126-2725

Call (315) 342-2864 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X210182-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1548485097

John R. Clark's National Provider Identifier is 1548485097, issued on Apr 17, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Oswego, NY. The record was last updated on Jul 9, 2007.