Individual provider · Type 1 NPI
Stacey S. Clark, RN BSN
Ambulatory Care Registered Nurse · San Antonio, TX
NPI number
1982426698
Active
Practice location
7400 Merton Minter St
San Antonio, TX 78229-4404
Mailing address
104 Terravista Trl
Victoria, TX 77904-2815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse Primary | 163WP2201X | 1077131 (KY) |
Ambulatory Care Registered Nurse: Definition to come...
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About NPI 1982426698
Stacey S. Clark, RN BSN's National Provider Identifier is 1982426698, issued on Oct 25, 2024. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in San Antonio, TX. The record was last updated on Oct 25, 2024.