STEPHANIE CLARK


Address: 636 Clay Ave Uppr, Rochester, NY 14613-1030
Phone: 7162084601

STEPHANIE CLARK (NPI# 1306486444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306486444
Entity Type Individual
Full Name STEPHANIE CLARK
Practice Address 636 Clay Ave Uppr
Rochester
NY 14613-1030
Practice Telephone 7162084601
Mailing Telephone 7162084601
Enumeration Date 2020-01-07
Last Update Date 2020-01-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 335764-01 NY Nursing Service Providers

Other Providers STEPHANIE CLARK

NPI Name Taxonomy Address Enumeration
1922612605 Stephanie Clark Massage Therapist 15227 Spring Cor, San Antonio, TX 78247-1693 2020-09-01
1811516156 Stephanie Clark Social Worker 10185 Isle St, Parker, CO 80134-5788 2020-04-15
1841681046 Stephanie Clark Technician, Other 2917 S Ash Ct, Broken Arrow, OK 74012-7804 2015-02-09
1760816326 Stephanie Diane Clark Case Manager/Care Coordinator 4613 Se 41st St, Del City, OK 73115-3703 2013-08-30
1538447560 Stephanie Renae Clark Physical Therapist 927 Battlefield Blvd N, Suite 200, Chesapeake, VA 23320-4853 2011-07-25
1932330545 Stephanie D Clark Social Worker 16581 Us Highway 17 N Ste 600, Hampstead, NC 28443-7451 2009-07-30
1487719787 Stephanie Clark Licensed Practical Nurse 55 Ramble Hill Lane, Millbrook, NY 12545 2006-12-27
1811057425 Stephanie Clark Dentist 7601 A Germantown Ave, Philadelphia, PA 19119 2006-12-12
1700864733 Stephanie Elaine Clark Audiologist 13934 N 59th Ave, Ste 120, Glendale, AZ 85306-4167 2006-01-09
1851395453 Stephanie Clark Chiropractor 3 Elmwood Rd, Hancock, NH 03449-5629 2005-06-10

Office Location

Street Address 636 CLAY AVE UPPR
City ROCHESTER
State NY
Zip Code 14613-1030

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487294666 Bercia Saltibus Case Manager/Care Coordinator 832 W. Main St, Rochester, NY 14613 2020-01-15
1205318631 Alecia Moodie Registered Nurse 216 Bidwell Terrace, Rochester, NY 14613 2018-09-01
1871015438 Portia A Daughtry Licensed Practical Nurse 160 Albemarle Street, Rochester, NY 14613 2017-07-14
1770962110 Denisha Lampley Licensed Practical Nurse 11 Straub St, Rochester, NY 14613 2015-05-19
1699923052 Devonne Sherice Stith Licensed Practical Nurse 110 Merlin Street, Rochester, NY 14613 2008-08-28
1154403053 Daniel Frank Squilla Dentist 399 Seneca Parkway, Rochester, NY 14613 2006-10-19
1255858171 Nigel Rose Licensed Practical Nurse 419 Raines Park, Rochester, NY 14613 2017-08-23
1952727471 Louise Rochford Registered Nurse 31 Bryan St, Rochester, NY 14613 2014-03-07
1700171378 Theresa Mack Licensed Practical Nurse 394 Electric Ave, Rochester, NY 14613-1004 2011-06-12
1053701474 Donyell Wyche Licensed Practical Nurse 394 Electric Ave, Rochester, NY 14613-1004 2015-01-24
Find all providers in zip 14613

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720689664 Chynna S Brown Licensed Practical Nurse 483 Newbury St, Rochester, NY 14615-3209 2020-11-06
1992305775 Sharee Walker Licensed Practical Nurse 145 Atlantic Ave, Rochester, NY 14607-1205 2020-10-29
1932708401 Tatyanna Greene Licensed Practical Nurse 160 Calm Lake Cir Apt C, Rochester, NY 14612-2512 2020-10-25
1750989158 Toni Foster Licensed Practical Nurse 72 Melrose St, Rochester, NY 14619-1802 2020-10-16
1861090474 Jovon C Johnson Licensed Practical Nurse 24 Alfie Dr, Rochester, NY 14623-3602 2020-10-15
1124626031 Heavenlee Joy Henderson Licensed Practical Nurse 61 Farleigh Ave, Rochester, NY 14606-2007 2020-10-13
1245838259 Sherree Daniella Holloway Licensed Practical Nurse 156 Normandy Ave, Rochester, NY 14619-1132 2020-10-12
1912505173 Robin R Graham Licensed Practical Nurse 70 Devon Rd, Rochester, NY 14619-2402 2020-10-10
1568060705 Jasmine Daja Shannay Vick Licensed Practical Nurse 619 Arnett Blvd, Rochester, NY 14619-1308 2020-10-10
1790383925 Nikki Pickett Licensed Practical Nurse 118 Hazelwood Ter, Rochester, NY 14609-5133 2020-10-10
Find all providers in ROCHESTER

Competitor

Search similar providers

City ROCHESTER
Zip Code 14613

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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