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

Stephanie Clark, CDCES, RN

Individual provider Diabetes Educator Registered Nurse · NPI 1417811811

Stephanie Clark, CDCES, RN is a Diabetes Educator Registered Nurse in Florence, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2025
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2105 Cypress Rd
Florence, SC 29505-6817
Phone: (843) 618-1219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diabetes Educator Registered Nurse (primary) Taxonomy 163WD0400X · Licence 32100652 (SC)

Record details

NPI number1417811811
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCES , RN
Sole proprietorYes
NPI enumeratedDecember 11, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address2105 Cypress Rd, Florence, SC 29505-6817

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