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Stacey Herring
Family Nurse Practitioner in Washington, Illinois
NPI 1952811259

Stacey Herring is a Family Nurse Practitioner based in Washington, IL and is specialized in Family. Stacey Herring practices in Washington, IL. The NPI Number for Stacey Herring is 1952811259 and holds a License No. 209016702 (Illinois).

The current practice location address for Stacey Herring is 201 N Cummings Ln, Washington, IL and can be reached out via phone at 309-444-3627.

Location: 201 N Cummings Ln, Washington, IL, 61571-0369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952811259
Provider Name
Stacey Herring
Credential
Provider Entity Type
Individual
Gender
Female
Address
201 N Cummings Ln, Washington, IL, 61571-0369
Phone Number
309-444-3627
Fax Number
Provider Enumeration Date
10/02/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209016702 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
201 N Cummings Ln
City
Washington
State
Illinois
Zip
61571-2181
Phone Number
309-444-3627
Fax Number
person
Provider Business Mailing Address Details
Address
201 N Cummings Ln
City
Washington
State
Illinois
Zip
61571-2181
Phone Number
309-444-3627
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209016702 (Illinois)
Definition
Definition to come...
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