Individual provider · Type 1 NPI

Tracy A. Stevens

Nurse Practitioner · Rockford, IL

NPI number 1417486663 Active

Practice location

1340 Charles St Ste 100
Rockford, IL 61104-2200

Mailing address

PO Box 78866
Milwaukee, WI 53278-8866

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209-016439 (IL)
Registered Nurse 163W00000X041384954 (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 1417486663

Tracy A. Stevens's National Provider Identifier is 1417486663, issued on Jun 9, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rockford, IL. The record was last updated on Mar 3, 2021.