John R Clark is a Licensed Practical Nurse based in Oswego, NY. John R Clark practices in Oswego, NY. The NPI Number for John R Clark is 1548485097 and holds a License No. 210182-1 (New York).
The current practice location address for John R Clark is 64 E Mohawk St, Oswego, NY and can be reached out via phone at 315-342-2864.
Location: 64 E Mohawk St, Oswego, NY, 13126-2725
Provider Profile Details
NPI Number
1548485097
Provider Name
John R Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
64 E Mohawk St, Oswego, NY, 13126-2725
Phone Number
315-342-2864
Fax Number
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01217867 | 05 | NY |
Provider Business Practice Location Address Details
Address
64 E Mohawk St
City
State
Zip
13126-2725
Phone Number
315-342-2864
Fax Number
Provider Business Mailing Address Details
Address
64 E Mohawk St
City
State
Zip
13126-2725
Phone Number
315-342-2864
Fax Number
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
210182-1 (New York)
Definition
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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