Individual
STACEY LYNN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
209 S CENTRAL AVE STE 300, MARSHFIELD, WI 54449-2836
(614) 439-0203
Mailing address
225 W WASHINGTON ST STE 1500, CHICAGO, IL 60606-3485
(855) 493-5523
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
17067-33
WI
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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