Stephanie Clark
Stephanie Clark is a Nurse Practitioner in Rock Island, Illinois. Qualified in 2021, 5 years ago. Practices with The Robert Young Center for Community Mental Health, a 54-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa and Illinois.
- Years since qualifying
- 5
- Licensed in
- IA, IL
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
2701 17th StRock Island, IL 61201
Phone: (309) 779-2031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence G166476 (IA) |
|---|---|
| Psychiatric/Mental Health Registered Nurse | Taxonomy 163WP0808X · Licence 041.442753 (IL) |
Record details
| NPI number | 1881143527 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 22, 2016 |
| Last updated in NPPES | November 23, 2021 |
| Certification date | November 23, 2021 |
| Mailing address | 2701 17th St, Rock Island, IL 61201-5351 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | The Robert Young Center For Community Mental Health — 54 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in Rock Island
-
Gretchen Yungen, APRN
2701 17th St, Rock Island, IL 61201-5351 · (309) 779-5000