King, Stephanie

King, Stephanie is an sole proprietor health care provider with primary practice located at 3732 Nameoki Rd , Granite City IL 62040-3714. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. King, Stephanie can be contacted via phone (314) 687-2735.

Contact Information

Primary practice address
3732 Nameoki Rd Granite City IL 62040-3714
Phone: (314) 687-2735
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2016023932 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209014478 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2016023932 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209014478 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 277000670 Illinois

Profile Details

NPI number 1053860320
LBN Legal business name King, Stephanie
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2016
Last updated Oct 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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