Stacey Tebbe
Nurse Practitioner · Mattoon, IL
UnclaimedNPI 1073158119
- Primary taxonomy
- 363L00000X
- Enumerated
- 2019-11-13
- Practice location
- Mattoon, IL
- Last NPPES update
- 2020-10-29
State licenses
- IL · Nurse practitioner · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.