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

Stephen Clark, NURSEPRACTITIONER

Individual provider Family Health Clinical Nurse Specialist · NPI 1083039085

Stephen Clark, NURSEPRACTITIONER is a Family Health Clinical Nurse Specialist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2014

Practice location Address checks out

1013 E Haines St
Philadelphia, PA 19138-1533
Phone: (215) 438-1095
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Health Clinical Nurse Specialist (primary) Taxonomy 364SF0001X · Licence SP013599 (PA)

Record details

NPI number1083039085
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedFebruary 27, 2014
Last updated in NPPESFebruary 27, 2014

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