STACEY DEANN CLARK
NPI 1134686124
Licensed Vocational Nurse in Axtell, TX

Q: What is Stacey Clark's NPI number?

The NPI number for Stacey Clark is 1134686124. It was assigned to this individual provider in the NPPES registry on February 26, 2019.

Q: What is Stacey Clark's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Clark was last updated on February 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 26, 2019

1400 BARRON LN, AXTELL, TX 76624(770) 255-8982 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Stacey Deann Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY DEANN CLARK (NPI 1134686124) is an individual licensed vocational nurse in Axtell, Texas, licensed in Texas (347556) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1134686124

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameSTACEY DEANN CLARK

Location Address1400 BARRON LNAxtell, TX 76624-1394

Mailing Address1400 Barron LnAxtell, TX 76624-1394 · (770) 255-8982

Phone(770) 255-8982

Sole ProprietorNo

Enumeration DateFebruary 26, 2019

✔ NPI 1134686124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in TX · 347556

Definition

A licensed vocational nurse 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

1400 BARRON LN, Axtell, TX 76624

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Clark's NPI number?

The NPI number for Stacey Clark is 1134686124. It was assigned to this individual provider in the NPPES registry on February 26, 2019.

Where is Stacey Clark located?

Stacey Clark practices at 1400 Barron Ln, Axtell, TX 76624. The listed phone number is (770) 255-8982.

What is Stacey Clark's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Stacey Clark was last updated on February 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.