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

Stephanie Clark, NP

Individual provider Registered Nurse · NPI 1851795595

Stephanie Clark, NP is a Nurse Practitioner in Poplar Bluff, Missouri. Qualified in 2022, 4 years ago. Practices with Psychiatry of Texas PLLC, a 404-clinician group and accepts Medicare assignment. Licensed in Iowa and Missouri.

Years since qualifying
4
Licensed in
IA, MO
In the registry since
2014
Specialties on file
3
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

1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318
Phone: (573) 686-4151
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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 G170123 (IA)
Registered Nurse Taxonomy 163W00000X · Licence 2011004525 (MO)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 2022026857 (MO)

Record details

NPI number1851795595
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 9, 2014
Last updated in NPPESDecember 2, 2022
Certification dateDecember 2, 2022
Mailing address1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Psychiatry Of Texas Pllc — 404 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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