Individual provider · Type 1 NPI
Lacey Ann Stevenson, PNP
Pediatric Nurse Practitioner · St. Louis, MO
NPI number
1497319560
Active
Practice location
615 S New Ballas Rd
St. Louis, MO 63141-8221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2018026933 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1497319560
Lacey Ann Stevenson, PNP's National Provider Identifier is 1497319560, issued on Apr 24, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Jan 15, 2025.