NPI 1861332322 · live from the CMS NPI Registry
Queshon Clark, RN
Registered Nurse, Gerontology in Chillicothe, OH. National Provider Identifier 1861332322, active.
NPI record
| NPI | 1861332322 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Gerontology 163WG0600X |
| Practice location | 17273 State Route 104, Chillicothe, OH 45601 |
| Practice phone | 740-773-1141 |
| Mailing address | 810 Vermont Ave Nw, Washington, DC 20420 |
| Enumerated | April 1, 2026 |
| Last updated | April 1, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Gerontology primary | 163WG0600X | R082403 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.