Clark, Stephanie

Clark, Stephanie is an individual health care provider with primary practice located at 2701 17Th St , Rock Island IL 61201. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Clark, Stephanie can be contacted via phone (309) 779-2031.

Contact Information

Primary practice address
2701 17Th St Rock Island IL 61201
Phone: (309) 779-2031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X G166476 Iowa
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 041.442753 Illinois

Profile Details

NPI number 1881143527
LBN Legal business name Clark, Stephanie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2016
Last updated Nov 23rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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