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STEPHANIE CLARK
NPI 1306486444
Licensed Practical Nurse in Rochester, NY

Active since January 07, 2020
636 CLAY AVE UPPR, ROCHESTER, NY 14613(716) 208-4601 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Stephanie Clark NPPES

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

STEPHANIE CLARK (NPI 1306486444) is an individual licensed practical nurse in Rochester, New York, licensed in New York (335764-01) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1306486444
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSTEPHANIE CLARK
Location Address636 CLAY AVE UPPRRochester, NY 14613-1030
Mailing Address636 Clay Ave UpprRochester, NY 14613-1030 · (716) 208-4601
Phone(716) 208-4601
Sole ProprietorYes
Enumeration DateJanuary 7, 2020
✔ NPI 1306486444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 335764-01
Definition
A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
636 CLAY AVE UPPR, Rochester, NY 14613
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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 Stephanie Clark's NPI number?

The NPI number for Stephanie Clark is 1306486444. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Where is Stephanie Clark located?

Stephanie Clark practices at 636 Clay Ave Uppr, Rochester, NY 14613. The listed phone number is (716) 208-4601.

What is Stephanie Clark's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Clark was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.