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

Mr. William R Clark I, RN

Individual provider Licensed Practical Nurse · NPI 1710210489

Mr. William R Clark I, RN is a Licensed Practical Nurse in Chillicothe, Ohio. Practices as a sole proprietor. Licensed in Ohio and Oklahoma.

Licensed in
OH, OK
In the registry since
2009
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

17273 State Route 104
Chillicothe, OH 45601-9718
Phone: (740) 773-1141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence RN521227 (OH)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 112658 (OK)

Record details

NPI number1710210489
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedSeptember 14, 2009
Last updated in NPPESAugust 26, 2024
Certification dateAugust 22, 2024

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