Stephanie Irene Clark

Registered Nurse · Americus, GA

Individual Active NPI

NPI number 1972986206

Practice location

415 N Jackson St
Americus, GA 31709-3015
Phone
(229) 931-2470

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NPI record

NPI
1972986206
Entity type
Individual (Type 1)
Enumeration date
July 6, 2015
Last updated
July 6, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X RN185331 GA

Mailing address

1471 TY TY Sparks Rd
Tifton, GA 31793-6342
Phone
(229) 942-3122

About Stephanie Clark

Stephanie Irene Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 415 N Jackson St, Americus, GA 31709-3015. The NPI number 1972986206 was assigned on July 6, 2015 and the record was last updated on July 6, 2015.

Stephanie Clark lists a license in the registry: #RN185331 (GA) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephanie Irene Clark?

The NPI number is 1972986206.

What is the phone number of Stephanie Clark?

The phone number listed for the practice location is (229) 931-2470.

Where is Stephanie Clark located?

415 N Jackson St, Americus, GA 31709-3015.

What is the taxonomy code for Stephanie Clark?

The primary taxonomy code is 163W00000X – Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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