MRS. Stacey Tebbe

NPI #1073158119 in Mattoon, Illinois

Provider Information

NPI Number
1073158119
Entity Type
Individual
Name
MRS. Stacey Tebbe
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Nov 13, 2019
Last Updated
Oct 29, 2020

Practice Location

Address
101 COLES CENTRE DR
ZIP Code
61938-9314
Phone
(217) 234-5110

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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