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Individual
STEPHANIE KING
Active
Individual
STEPHANIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2016023932
MO
363L00000X
Nurse Practitioner
209014478
IL
363L00000X
Nurse Practitioner
277000670
IL
363LF0000X
Family Nurse Practitioner
2016023932
MO
363LF0000X
Family Nurse Practitioner
Primary
209014478
IL
Other
Enumeration date
09/28/2016
Last updated
09/19/2025
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