Stephanie R Kennedy-Mallum, MSN, APN, FNP-BC

NPI #1356939870 in Skokie, Illinois

Provider Information

NPI Number: 1356939870
Entity Type: Individual
Name: Stephanie R Kennedy-Mallum, MSN, APN, FNP-BC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: MSN, APN, FNP-BC
Enumeration Date: Jan 10, 2021
Last Updated: Jun 29, 2021

Practice Location

Address: 9977 WOODS DR # 100
City: Skokie
State: Illinois
ZIP Code: 60077-1057
Phone: (224) 364-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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