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

Stacey Ellen Clark, NP

Individual provider Nurse Practitioner · NPI 1528098712

Stacey Ellen Clark, NP is a Nurse Practitioner in Durham, North Carolina. Graduated from University of California, San Diego School of Medicine in 2003, 23 years ago. Accepts Medicare assignment. Licensed in California and North Carolina.

Years since qualifying
23
Trained at
University of California, San Diego School of Medicine
Licensed in
CA, NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

414 E Main St
Durham, NC 27701-3720
Phone: (919) 560-7925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5005457 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence NP14812 (CA)

Record details

NPI number1528098712
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESNovember 13, 2014
Mailing address53507 Bickett, Chapel Hill, NC 27517-8570

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Durham