Individual provider · Type 1 NPI

Stacy Davis Baur, NP

Nurse Practitioner · Belleville, IL

NPI number 1962232215 Active

Practice location

4700 Memorial Dr Ste 350
Belleville, IL 62226-5373

Fax (618) 212-6677

Mailing address

PO Box 959203
St. Louis, MO 63195-2804

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209030350 (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 1962232215

Stacy Davis Baur, NP's National Provider Identifier is 1962232215, issued on Aug 2, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Belleville, IL. The record was last updated on Sep 19, 2025.