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Stacey Clark, PA
Physician Assistant in Penacook, New Hampshire
NPI 1710968763

Stacey Clark is a Physician Assistant based in Penacook, NH. Stacey Clark practices in Penacook, NH and has the professional credentials of PA. The NPI Number for Stacey Clark is 1710968763 and holds a License No. 2511 (New Hampshire).

The current practice location address for Stacey Clark is 4 Crescent St., Penacook, NH and can be reached out via phone at 603-753-4302 and via fax at 603-227-7570.

Location: 4 Crescent St., Penacook, NH, 03303-1412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710968763
Provider Name
Stacey Clark
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4 Crescent St., Penacook, NH, 03303-1412
Phone Number
603-753-4302
Fax Number
603-227-7570
Provider Enumeration Date
11/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3073660 05 NH
institution
Provider Business Practice Location Address Details
Address
4 Crescent St.
City
Penacook
State
New Hampshire
Zip
03303-1412
Phone Number
603-753-4302
Fax Number
603-227-7570
person
Provider Business Mailing Address Details
Address
4 Crescent St.
City
Penacook
State
New Hampshire
Zip
03303-1412
Phone Number
603-753-4302
Fax Number
603-227-7570
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
0622 (New Hampshire)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
2511 (Arizona)
Definition
Definition to come...
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