Individual provider · Type 1 NPI

Stacy Lynn Clarke, FNP-C

Family Nurse Practitioner · Kansas City, MO

NPI number 1114508298 Active

Practice location

9001 State Line Rd Ste 300
Kansas City, MO 64114-3212

Fax (816) 523-0068

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	53-80328 (KS)
Family Nurse Practitioner Primary	363LF0000X	2021013570 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1114508298

Stacy Lynn Clarke, FNP-C's National Provider Identifier is 1114508298, issued on Apr 19, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kansas City, MO. The record was last updated on Jul 23, 2025.