Physician Assistant
STACEY CLARK PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1710968763 · enumerated 2005-11-08 · record updated 2022-09-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: STACEY ORT
Addresses and phones
- Mailing address 4 CRESCENT ST, PENACOOK, NH, 03303-1412 (603) 753-4302 Google Maps Apple Maps OpenStreetMap
- Practice location 4 CRESCENT ST., PENACOOK, NH, 03303-1412 (603) 753-4302 Fax (603) 227-7570 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · License 2511 AZ
- Physician Assistant 363A00000X · Primary · License 0622 NH
In this directory
Locations and evidence
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Practice location
PENACOOK, NH, 033031412
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.