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Mr. William R Clark I, RN
General Practice Registered Nurse in Chillicothe, Ohio
NPI 1710210489

William R Clark I is a General Practice Registered Nurse based in Chillicothe, OH and is specialized in General Practice. William R Clark I practices in Chillicothe, OH and has the professional credentials of RN. The NPI Number for William R Clark I is 1710210489 and holds a License No. 112658 (Ohio).

The current practice location address for William R Clark I is 17273 State Route 104, Chillicothe, OH and can be reached out via phone at 740-773-1141.

Location: 17273 State Route 104, Chillicothe, OH, 45601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710210489
Provider Name
William R Clark I
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
17273 State Route 104, Chillicothe, OH, 45601
Phone Number
740-773-1141
Fax Number
Provider Enumeration Date
09/14/2009
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
17273 State Route 104
City
Chillicothe
State
Ohio
Zip
45601-9718
Phone Number
740-773-1141
Fax Number
person
Provider Business Mailing Address Details
Address
17273 State Route 104
City
Chillicothe
State
Ohio
Zip
45601-9718
Phone Number
740-773-1141
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
RN521227 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
112658 (Oklahoma)
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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