NPI 1255049409 · live from the CMS NPI Registry
Stephanie Y Clark, CPNP
Nurse Practitioner in Iowa City, IA. National Provider Identifier 1255049409, active.
NPI record
| NPI | 1255049409 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 200 Hawkins Dr, Iowa City, IA 52242 |
| Practice phone | 319-356-2229 |
| Enumerated | November 7, 2022 |
| Last updated | September 2, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | C171547 (IA) |
| Nurse Practitioner primary | 363L00000X | C171547 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.