What is Stacey Clark's NPI number?

Stacey Clark's National Provider Identifier (NPI) is 1134686124, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Stacey Clark's specialty?

Stacey Clark is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse (Nursing Service Providers).

Where is Stacey Clark located?

Stacey Clark's practice location on file with NPPES is 1400 Barron Ln, Axtell, TX 76624-1394.

What is Stacey Clark's phone number?

The practice phone number listed in the NPPES registry for Stacey Clark is (770) 255-8982.

Is Stacey Clark's NPI active?

Yes — Stacey Clark's NPI (1134686124) is active in the NPPES registry as of the last update on 2019-02-26.

IndividualActive

Stacey Clark

NPI 1134686124 · Licensed Vocational Nurse · Axtell, TX

Stacey Clark is a Licensed Vocational Nurse provider in Axtell, TX (NPI 1134686124).

Provider details

NPI number: 1134686124
Entity type: Individual
Primary specialty: Licensed Vocational NurseNursing Service Providers
Sex: Female
Sole proprietor: No
License: 347556 (TX)

Specialties & taxonomies

Licensed Vocational NursePrimary164X00000XLicense 347556 (TX)
Nursing Service Providers

Profile Score

Established profile(67/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1400 Barron Ln

Axtell, TX 76624-1394

Phone: (770) 255-8982

Street-level locationGet directions

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Mailing address