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Stacy R Wright, FNP
Family Nurse Practitioner in Mount Vernon, Illinois
NPI 1538593470

Stacy R Wright is a Family Nurse Practitioner based in Saint Louis, IL and is specialized in Family. Stacy R Wright practices in Mount Vernon, IL and has the professional credentials of FNP. The NPI Number for Stacy R Wright is 1538593470 and holds a License No. 209010682 (Illinois).

The current practice location address for Stacy R Wright is 5 Good Samaritan Way, Mount Vernon, IL and can be reached out via phone at 618-899-1264.

Location: 5 Good Samaritan Way, Mount Vernon, IL, 63195-3056
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538593470
Provider Name
Stacy R Wright
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
5 Good Samaritan Way, Mount Vernon, IL, 63195-3056
Phone Number
618-899-1264
Fax Number
Provider Enumeration Date
08/28/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209010682 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
5 Good Samaritan Way
City
Mount Vernon
State
Illinois
Zip
62864-2402
Phone Number
618-899-1264
Fax Number
person
Provider Business Mailing Address Details
Address
5 Good Samaritan Way
City
Mount Vernon
State
Illinois
Zip
62864-2402
Phone Number
618-899-1264
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209010682 (Illinois)
Definition
Definition to come...
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