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STACIE LYNN CLARK
NPI 1619567690
Licensed Practical Nurse in Butler, PA

Active since January 22, 2021
115 E PATTERSON AVE, BUTLER, PA 16001(724) 991-8337 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacie Lynn Clark NPPES

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

STACIE LYNN CLARK (NPI 1619567690) is an individual licensed practical nurse in Butler, Pennsylvania, licensed in Pennsylvania (PN106688L) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1619567690
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSTACIE LYNN CLARK
Location Address115 E PATTERSON AVEButler, PA 16001-6337
Mailing Address115 E Patterson AveButler, PA 16001-6337 · (724) 991-8337
Phone(724) 991-8337
Sole ProprietorNo
Enumeration DateJanuary 22, 2021
NPPES CertifiedJanuary 22, 2021
✔ NPI 1619567690 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 PA · PN106688L
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.
115 E PATTERSON AVE, Butler, PA 16001
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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 Stacie Clark's NPI number?

The NPI number for Stacie Clark is 1619567690. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Where is Stacie Clark located?

Stacie Clark practices at 115 E Patterson Ave, Butler, PA 16001. The listed phone number is (724) 991-8337.

What is Stacie 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 Stacie Clark was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.