Individual
TERESA L. STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2200 WABASH AVE, SPRINGFIELD, IL 62704-5352
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-002662
IL
Other
Enumeration date
09/28/2006
Last updated
05/19/2020
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