Stephanie Clark is a Pocatello, Idaho based nurse practitioner with 14 years of experience in . She completed her graduation in 2011. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stephanie Clark is NP-1100A in Idaho. Her current practice location is 1951 Bench Road, Ste A, Pocatello. Patients can reach her at 208-549-7385 or can fax her at 208-216-6761. Stephanie Clark is NP and her NPI number (Unique professional ID assigned by NPPES) is 1912288572. Stephanie 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:
Stephanie 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:
Stephanie Clark
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP
Experience:
14+ years
Medical School Attended:
Other
Graduation Year:
2011
Accepts Medicare Assignment:
Yes
Practice Address:
1951 Bench Road, Ste A, Pocatello, Idaho, 83201-2073
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:
9335311406
Enrollment ID:
I20111013000668
NPI Number:
1912288572
NPI Enumeration Date:
08 Sep, 2011
NPI Last Update On:
21 Sep, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephanie Clark are as mentioned below.
License Number
Specialization
State
Status
NP-1100A
Idaho
Primary
N-35468
Registered Nurse
Idaho
Secondary
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 Stephanie Clark is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Life Change Associates Pc (8224265574)
6
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Stephanie Clark 1951 Bench Road, Ste A Pocatello, Idaho
Zip:
83201-2073
Phone Number:
208-549-7385
Fax Number:
208-216-6761
Patients can reach Stephanie Clark at 1951 Bench Road, Ste A, Pocatello, Idaho or can call to book an appointment on 208-549-7385.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.