STEPHANIE CLARK CDCES RN NPI 1417811811

NPI Information

  • NPI: 1417811811
  • Provider Name: STEPHANIE CLARK, CDCES, RN
  • Classification: Registered Nurse - 163WD0400X
  • Specialization: Diabetes Educator
  • Entity Type: Individual
  • Address: 2105 CYPRESS RD
    FLORENCE, SC
    ZIP 29505
  • Phone: (843) 618-1219

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NPI Details

Stephanie Clark, CDCES, RN is a diabetes educator registered nurse in Florence, SC. Stephanie Clark, CDCES, RN NPI is 1417811811. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2105 CYPRESS RD
FLORENCE, SC
ZIP 29505-817
Phone: (843) 618-1219

The enumeration date for this NPI number is 12/11/2025 and was last updated on 12/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WD0400XRegistered NurseDiabetes Educator32100652SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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