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

Stephanie Jane Clark, RN

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1023983152

Stephanie Jane Clark, RN is an Addiction (Substance Use Disorder) Registered Nurse in San Francisco, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
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

1001 Portrero Ave
San Francisco, CA 94110-3518
Phone: (628) 206-8412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence 465035 (CA)

Record details

NPI number1023983152
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedOctober 8, 2025
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing address1001 Portrero Ave, San Francisco, CA 94110-3518

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