Nurse Practitioner
STEPHANIE CLARK NP
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 Plan acceptance stays unpublished until the practice reports it.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 1912288572 · enumerated 2011-09-08 · record updated 2023-09-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1951 BENCH ROAD, STE A, POCATELLO, ID, 83201-2073 (208) 549-7385 Fax (208) 216-6761 Google Maps Apple Maps OpenStreetMap
- Practice location 1951 BENCH ROAD, STE A, POCATELLO, ID, 83201-2073 (208) 549-7385 Fax (208) 216-6761 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · Primary · License NP-1100A ID
- Registered Nurse 163W00000X · License N-35468 ID
In this directory
Locations and evidence
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Practice location
POCATELLO, ID, 832012073
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.