Stacey Clark, PA
Stacey Clark, PA is a Physician Assistant in Penacook, New Hampshire. Qualified in 1998, 28 years ago. Practices with Concord Hospital Inc, a 569-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and New Hampshire.
- Years since qualifying
- 28
- Licensed in
- AZ, NH
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
4 Crescent StPenacook, NH 03303-1412
Phone: (603) 753-4302
Fax: (603) 227-7570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1 Elliot Way, Manchester, NH 03103 — (603) 663-2830
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 0622 (NH) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 2511 (AZ) |
Record details
| NPI number | 1710968763 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | November 8, 2005 |
| Last updated in NPPES | September 30, 2022 |
| Certification date | September 30, 2022 |
| Mailing address | 4 Crescent St, Penacook, NH 03303-1412 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1998 (28 years in practice) |
| Group practice | Concord Hospital Inc — 569 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Penacook
-
Mrs. Meghan C Baron, PA-C
4 Crescent St, Penacook, NH 03303-1412 · (603) 753-4302