Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY CLARK, PA
ActiveSTACEY CLARK, PA is a Physician Assistant healthcare provider located in PENACOOK, New Hampshire. NPI 1710968763 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PENACOOK, NH
Registration Details
- NPI Number
- 1710968763
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 8, 2005 (20.6217447153 yrs)
- Last Updated
- Sep 30, 2022
- Licenses
-
2511 (AZ)0622 (NH)
Practice Information
- Address
-
4 CRESCENT ST.PENACOOK, NH, 033031412Browse NH providers · Browse ZIP 03303
- Phone
- 6037534302
- Fax
- 6032277570
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PENACOOK, NH
| Name | Credential | NPI |
|---|---|---|
| MARK P. HERRON | PA-C | 1255605069 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.