Individual provider · Type 1 NPI

Stacey M. Merrill, APRN, CNP

Family Nurse Practitioner · Pontiac, IL

NPI number 1760012637 Active

Practice location

2500 W Reynolds St
Pontiac, IL 61764-9784

Mailing address

1627 Chestnut St
Ottawa, IL 61350-1315

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X277002991 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1760012637

Stacey M. Merrill, APRN, CNP's National Provider Identifier is 1760012637, issued on Jan 20, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pontiac, IL. The record was last updated on Apr 23, 2025.