Stephanie Clark
NPI #1881143527 in Rock Island, Illinois
Provider Information
- NPI Number
- 1881143527
- Entity Type
- Individual
- Name
- Stephanie Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Sep 22, 2016
- Last Updated
- Nov 23, 2021
Practice Location
- Address
- 2701 17TH ST
- City
- Rock Island
- State
- Illinois
- ZIP Code
- 61201
- Phone
- (309) 779-2031
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Registered Nurse - Psychiatric/Mental Health — Psychiatric/Mental Health |
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