Individual provider · Type 1 NPI

Stacy Lea Clark Bergeron Carter, APRN

Nurse Practitioner · Hollywood, FL

NPI number 1033795232 Active

Practice location

3501 Johnson St
Hollywood, FL 33021-5421

Call (954) 265-7750 Map

Fax (954) 276-0280

Mailing address

2900 Corporate Way, Door D
Miramar, FL 33025-3925

Other practice locations

  • 603 N Flamingo Rd Ste 255, Pembroke Pines, FL 33028-1013 · (954) 265-7750

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X11011922 (FL)
Adult Health Nurse Practitioner 363LA2200XAPRN11011922 (FL)
Nurse Practitioner Primary 363L00000XAPRN11011922 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1033795232

Stacy Lea Clark Bergeron Carter, APRN's National Provider Identifier is 1033795232, issued on Mar 19, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hollywood, FL. The record was last updated on Sep 23, 2026.