Individual provider · Type 1 NPI

Stacey Ellen Clark, NP

Family Nurse Practitioner · Durham, NC

NPI number 1528098712 Active

Practice location

414 E Main St
Durham, NC 27701-3720

Mailing address

53507 Bickett
Chapel Hill, NC 27517-8570

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XNP14812 (CA)
Family Nurse Practitioner Primary 363LF0000X5005457 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1528098712

Stacey Ellen Clark, NP's National Provider Identifier is 1528098712, issued on Jul 3, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Durham, NC. The record was last updated on Nov 13, 2014.