person
Stephanie Clark
Psychiatric/Mental Health Registered Nurse in Rock Island, Illinois
NPI 1881143527

Stephanie Clark is a Psychiatric/Mental Health Registered Nurse based in Rock Island, IL and is specialized in Psychiatric/Mental Health. Stephanie Clark practices in Rock Island, IL. The NPI Number for Stephanie Clark is 1881143527 and holds a License No. G166476 (Illinois).

The current practice location address for Stephanie Clark is 2701 17Th St, Rock Island, IL and can be reached out via phone at 309-779-2031.

Location: 2701 17Th St, Rock Island, IL, 61201-5351
person
Provider Profile Details
NPI Number
1881143527
Provider Name
Stephanie Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
2701 17Th St, Rock Island, IL, 61201-5351
Phone Number
309-779-2031
Fax Number
Provider Enumeration Date
09/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2701 17Th St
City
State
Zip
61201
Phone Number
309-779-2031
Fax Number
person
Provider Business Mailing Address Details
Address
2701 17Th St
City
State
Zip
61201
Phone Number
309-779-2031
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
041.442753 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
G166476 (Iowa)
Definition
Definition to come...
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