Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. John R Clark

Individual provider Licensed Practical Nurse · NPI 1548485097

Mr. John R Clark is a Licensed Practical Nurse in Oswego, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

64 E Mohawk St
Oswego, NY 13126-2725
Phone: (315) 342-2864
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 210182-1 (NY)

Record details

NPI number1548485097
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 17, 2007
Last updated in NPPESJuly 9, 2007
Mailing address64 E Mohawk St, Oswego, NY 13126-2725

Other providers in Oswego