Individual provider · Type 1 NPI

Stephanie R. Kennedy-Mallum, MSN, APN, FNP-BC

Nurse Practitioner · Skokie, IL

NPI number 1356939870 Active

Practice location

9977 Woods Dr # 100
Skokie, IL 60077-1057

Fax (847) 663-8290

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209022352 (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 1356939870

Stephanie R. Kennedy-Mallum, MSN, APN, FNP-BC's National Provider Identifier is 1356939870, issued on Jan 10, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Skokie, IL. The record was last updated on Jun 29, 2021.