1. Home
  2. Directory
  3. New York
  4. Oswego
  5. Licensed Practical Nurse
  6. NPI Profile

MR. JOHN R CLARK
NPI 1548485097
Licensed Practical Nurse in Oswego, NY

Active since April 17, 2007
64 E MOHAWK ST, OSWEGO, NY 13126(315) 342-2864 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. John R Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN R CLARK (NPI 1548485097) is an individual licensed practical nurse in Oswego, New York, licensed in New York (210182-1) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1548485097
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. JOHN R CLARK
Location Address64 E MOHAWK STOswego, NY 13126-2725
Mailing Address64 E Mohawk StOswego, NY 13126-2725 · (315) 342-2864
Phone(315) 342-2864
Sole ProprietorYes
Enumeration DateApril 17, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1548485097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 210182-1
Definition
A licensed practical nurse 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.
64 E MOHAWK ST, Oswego, NY 13126
Open in Google Maps ↗

Other Identifiers 1

Medicaid01217867NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Clark's NPI number?

The NPI number for John Clark is 1548485097. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is John Clark located?

John Clark practices at 64 E Mohawk St, Oswego, NY 13126. The listed phone number is (315) 342-2864.

What is John Clark's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for John Clark was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.