Individual
KATHRYN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1310 N MISSOURI AVE, PEORIA, IL 61603-3105
(309) 655-2000
Mailing address
1310 N MISSOURI AVE, PEORIA, IL 61603-3105
(309) 655-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209034807
IL
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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