Clark, Stephanie Y

Clark, Stephanie Y is an individual health care provider with primary practice located at 8605 Chambery Blvd , Johnston IA 50131-8821. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Clark, Stephanie Y can be contacted via phone (262) 227-4860.

Contact Information

Primary practice address
8605 Chambery Blvd Johnston IA 50131-8821
Phone: (262) 227-4860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X C171547 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X C171547 Iowa

Profile Details

NPI number 1255049409
LBN Legal business name Clark, Stephanie Y
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2022
Last updated Feb 14th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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