Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Clarence A Stuppard Sr., ADMINISTRATOR

Individual provider Community Health Worker · NPI 1508175092

Mr. Clarence A Stuppard Sr., ADMINISTRATOR is a Community Health Worker in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

2924 Brighton St
Philadelphia, PA 19149-1922
Phone: (215) 624-1321
Fax: (215) 624-1034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X · Licence 16713601 (PA)
Community Health Worker Taxonomy 172V00000X · Licence 16713601 (PA)

Record details

NPI number1508175092
Entity typeIndividual (Type 1)
GenderMale
Credentials ADMINISTRATOR
Sole proprietorYes
NPI enumeratedSeptember 30, 2010
Last updated in NPPESSeptember 30, 2010

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