Individual provider · Type 1 NPI
Stacey Clark
Student in an Organized Health Care Education/Training Program · Zachary, LA
NPI number
1356280226
Active
Practice location
2513 N Turnberry Ave
Zachary, LA 70791-5403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1356280226
Stacey Clark's National Provider Identifier is 1356280226, issued on Mar 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Zachary, LA. The record was last updated on Mar 26, 2026.