Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephanie Clark, NP

Individual provider Nurse Practitioner · NPI 1912288572

Stephanie Clark, NP is a Nurse Practitioner in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2011
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1951 Bench Rd Ste A
Pocatello, ID 83201-2073
Phone: (208) 549-7385
Fax: (208) 216-6761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP-1100A (ID)
Registered Nurse Taxonomy 163W00000X · Licence N-35468 (ID)

Record details

NPI number1912288572
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedSeptember 8, 2011
Last updated in NPPESSeptember 21, 2023

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