person
Stacey M Merrill, APRN
Family Nurse Practitioner in Pontiac, Illinois
NPI 1760012637

Stacey M Merrill is a Family Nurse Practitioner based in Ottawa, IL and is specialized in Family. Stacey M Merrill practices in Pontiac, IL and has the professional credentials of APRN. The NPI Number for Stacey M Merrill is 1760012637 and holds a License No. 209020094 (Illinois).

The current practice location address for Stacey M Merrill is 2500 W Reynolds St, Pontiac, IL and can be reached out via phone at 815-842-2828. You can also correspond with Stacey M Merrill through the mailing address at 1627 CHESTNUT ST, OTTAWA, IL - 61350-1315 (mailing address contact number: 815-685-4419).

Location: 2500 W Reynolds St, Pontiac, IL, 61350-1315
person
Provider Profile Details
NPI Number
1760012637
Provider Name
Stacey M Merrill
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
2500 W Reynolds St, Pontiac, IL, 61350-1315
Phone Number
815-842-2828
Fax Number
Provider Enumeration Date
01/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2500 W Reynolds St
City
State
Zip
61764-9784
Phone Number
815-842-2828
Fax Number
person
Provider Business Mailing Address Details
Address
1627 Chestnut St
City
State
Zip
61350-1315
Phone Number
815-685-4419
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209020094 (Illinois)
Definition
Definition to come...
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