Individual
STACY LYNN CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9001 STATE LINE RD STE 300, KANSAS CITY, MO 64114-3212
(816) 363-2600
(816) 523-0068
Mailing address
9001 STATE LINE RD STE 300, KANSAS CITY, MO 64114-3212
(816) 363-2600
(816) 523-0068
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021013570
MO
363LF0000X
Family Nurse Practitioner
53-80328
KS
Other
Enumeration date
04/19/2021
Last updated
07/23/2025
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