Individual provider · Type 1 NPI

Stephanie King, FNP-BC

Family Nurse Practitioner · Granite City, IL

NPI number 1053860320 Active

Practice location

3732 Nameoki Rd
Granite City, IL 62040-3714

Mailing address

PO Box 955534
St. Louis, MO 63195-5534

Other practice locations

  • 2122 Troy Rd Ste 130, Edwardsville, IL 62025-2540 · (618) 800-4500
  • 12098 Lusher Rd, St. Louis, MO 63138-1302 · (314) 355-0500

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X277000670 (IL)
Nurse Practitioner 363L00000X2016023932 (MO)
Family Nurse Practitioner Primary 363LF0000X209014478 (IL)
Nurse Practitioner 363L00000X209014478 (IL)
Family Nurse Practitioner 363LF0000X2016023932 (MO)

Family Nurse Practitioner: Definition to come...

12 other providers at this address

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About NPI 1053860320

Stephanie King, FNP-BC's National Provider Identifier is 1053860320, issued on Sep 28, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Granite City, IL. The record was last updated on Sep 19, 2025.