Individual
STEPHANIE Y CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2229
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
C171547
IA
363LP0200X
Pediatric Nurse Practitioner
C171547
IA
Other
Enumeration date
11/07/2022
Last updated
09/02/2025
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