Stacey Ellen Clark
NP | Nurse Practitioner | 22+ years Exp
414 E Main St, Durham
North Carolina, 27701-3720
919-560-7925
Stacey Ellen Clark is a Durham, North Carolina based nurse practitioner with 22 years of experience in . She completed her graduation from University Of California, San Diego School Of Medicine in 2003. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stacey Ellen Clark is 5005457 for Family in North Carolina. Her current practice location is 414 E Main St, Durham. Patients can reach her at 919-560-7925. Stacey Ellen Clark is NP and her NPI number (Unique professional ID assigned by NPPES) is 1528098712.
Stacey Ellen Clark has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Stacey Ellen Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Stacey Ellen Clark |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 22+ years |
| Medical School Attended: | University Of California, San Diego School Of Medicine |
| Graduation Year: | 2003 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 414 E Main St, Durham,
North Carolina, 27701-3720 |
| Phone: | 919-560-7925 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0143248716 |
| Enrollment ID: | I20111228000320 |
| NPI Number: | 1528098712 |
| NPI Enumeration Date: | 03 Jul, 2006 |
| NPI Last Update On: | 13 Nov, 2014 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacey Ellen Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| 5005457 | Family | North Carolina | Primary | |
| NP14812 | Nurse Practitioner | California | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (340061) | Chapel hill, NC | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Stacey Ellen Clark is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Avance Care Pa (3577634476) | 146 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Stacey Ellen Clark
53507 Bickett,
Chapel Hill, North Carolina |
| Zip: | 27517-8570 |
| Phone Number: | 919-560-7925 |
Patients can reach Stacey Ellen Clark at
414 E Main St, Durham, North Carolina or can
call to book an appointment on 919-560-7925.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.