STEPHANIE NICOLE CLARK
NPI 1760002893
Nurse Practitioner - Family in Stockbridge, GA

Q: What is Stephanie Clark's NPI number?

The NPI number for Stephanie Clark is 1760002893. It was assigned to this individual provider in the NPPES registry on April 18, 2020. The provider is also known as Stephanie Nicole Elliott.

Q: What is Stephanie Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Clark was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 18, 2020

1050 EAGLES LANDING PKWY STE 202, STOCKBRIDGE, GA 30281(678) 289-1988(678) 289-1512 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2021, Aug 27, 2020, Apr 18, 2020 (3 updates tracked since 2020).

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About Stephanie Nicole Clark NPPES

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

STEPHANIE NICOLE CLARK (NPI 1760002893) is an individual family provider in Stockbridge, Georgia, licensed in Georgia (RN225891) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1760002893

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTEPHANIE NICOLE CLARK

Location Address1050 EAGLES LANDING PKWY STE 202Stockbridge, GA 30281-9200

Mailing Address1050 Eagles Landing Pkwy Ste 202Stockbridge, GA 30281-9200 · (678) 289-1988

Phone(678) 289-1988

Fax(678) 289-1512

Sole ProprietorNo

Enumeration DateApril 18, 2020

Last NPPES UpdateSeptember 8, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2021

✔ NPI 1760002893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN225891

1050 EAGLES LANDING PKWY STE 202, Stockbridge, GA 30281

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Other Names 1

Former Name (1)Stephanie Nicole Elliott

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID W JONES MD

Pediatrics (Pediatric Cardiology)

1050 EAGLES LANDING PKWY STE 202
STOCKBRIDGE, GA 30281

Henry County (678) 289-1988

ANASTASIYA SHCHATSKO MD

Colon & Rectal Surgery

1050 EAGLES LANDING PKWY STE 202
STOCKBRIDGE, GA 30281

Henry County (678) 604-5070

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 1760002893. It was assigned to this individual provider in the NPPES registry on April 18, 2020. The provider is also known as Stephanie Nicole Elliott.

Where is Stephanie Clark located?

Stephanie Clark practices at 1050 Eagles Landing Pkwy Ste 202, Stockbridge, GA 30281. The listed phone number is (678) 289-1988.

What is Stephanie Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Stephanie Clark was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.