Individual provider · Type 1 NPI

Stacey Tebbe

Nurse Practitioner · Mattoon, IL

NPI number 1073158119 Active

Practice location

101 Coles Centre Dr
Mattoon, IL 61938-9314

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209020253 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073158119

Stacey Tebbe's National Provider Identifier is 1073158119, issued on Nov 13, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mattoon, IL. The record was last updated on Oct 29, 2020.