Individual provider · Type 1 NPI

Stephanie Lynn Haynes, APRN, FNP-C

Nurse Practitioner · Belleville, IL

NPI number 1871480376 Active

Practice location

4600 Memorial Dr Ste 200
Belleville, IL 62226-5363

Fax (618) 233-2555

Mailing address

PO Box 959203
St. Louis, MO 63195-9203

Other practice locations

  • 4001 S 700 E Ste 700, Salt Lake City, UT 84107-2533 · (801) 274-3280

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209.032558 (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 1871480376

Stephanie Lynn Haynes, APRN, FNP-C's National Provider Identifier is 1871480376, issued on Jun 18, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Belleville, IL. The record was last updated on Oct 29, 2025.