Individual
MRS. STEPHANIE MARIE OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1106 OAK ST, MOUNT CARMEL, IL 62863-2444
(618) 263-6575
(618) 262-4468
Mailing address
1106 OAK ST, MOUNT CARMEL, IL 62863-2444
(618) 263-6575
(618) 262-4468
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.030920
IL
363LF0000X
Family Nurse Practitioner
209.030920
IL
363LP2300X
Primary Care Nurse Practitioner
209.030920
IL
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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