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

Individual provider Pediatric Nurse Practitioner · NPI 1255049409

Stephanie Y Clark, CPNP is a Nurse Practitioner in Iowa City, Iowa. Qualified in 2022, 4 years ago. Practices with State University of Iowa, a 1,885-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
4
Licensed in
IA
In the registry since
2022
Specialties on file
2
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

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Practice location Address checks out

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone: (319) 356-2229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8605 Chambery Blvd, Johnston, IA 50131-8821 — (262) 227-4860
  • 2901 86th St, Urbandale, IA 50322-4330 — (515) 457-2960

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence C171547 (IA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence C171547 (IA)

Record details

NPI number1255049409
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorNo
NPI enumeratedNovember 7, 2022
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

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 State University Of Iowa — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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