Individual provider · Type 1 NPI

Stephanie Blythe Flesner, APRN

Nurse Practitioner · Macomb, IL

NPI number 1356200554 Active

Practice location

515 E Grant St Ste 213
Macomb, IL 61455-3378

Mailing address

510 Mcanulty St
Golden, IL 62339-1013

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209.037021 (IL)
Registered Nurse 163W00000X041371522 (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 1356200554

Stephanie Blythe Flesner, APRN's National Provider Identifier is 1356200554, issued on Jan 21, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Macomb, IL. The record was last updated on Nov 2, 2026.