Stacey Ellen Clark in Chapel Hill - Nurse Practitioner

Stacey Ellen Clark - NPI 1528098712

Stacey Ellen Clark is a Nurse Practitioner in Chapel Hill, North Carolina. Stacey Ellen Clark practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Stacey Ellen Clark is 1528098712. The last update date is 2014-11-13.

Stacey Ellen Clark's current location address is 53507 Bickett, Chapel Hill, North Carolina. You can contact this provider via phone number 9195607925. The mailing address for Stacey Ellen Clark is 53507 Bickett, Chapel Hill, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacey Ellen Clark
Address 53507 Bickett, Chapel Hill, North Carolina
Phone Number 9195607925
Fax Number
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1528098712
Provider Enumeration Date 2006-07-03
Last Updated Date 2014-11-13

Provider Mailing Address Detail

Address 53507 Bickett
City Chapel Hill
State North Carolina (NC)
Post Code 275178570
Phone Number 9195607925
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No NP14812
Definition:
(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 certifi

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FAQs about Stacey Ellen Clark

What is the unique provider identifier assigned to Stacey Ellen Clark?

The Stacey Ellen Clark has been issued the NPI (National Provider Identifier) 1528098712 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Stacey Ellen Clark?

The Stacey Ellen Clark is situated at 53507 Bickett, in the city of Chapel Hill, state of NC, with the zip code 275178570.

What is Stacey Ellen Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Stacey Ellen Clark is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.

On what date was the 1528098712 assigned to Stacey Ellen Clark?

The Stacey Ellen Clark was issued its 1528098712 on 2006-07-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Stacey Ellen Clark most recently updated?

The details pertaining to the Stacey Ellen Clark, including its address, specialty, and other relevant information, were last refreshed on 2014-11-13.

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