Most Relevant Information
Provider Data
| NPI Number: | 1003541962 |
| Provider Name: | EMILY STEPHENSON FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209.025552 |
Most Important Dates
| Enumeration Date: | 07/22/2022 |
| Last Updated: | 03/25/2024 |
Provider Practice Location
1701 CURTIS RD
CHAMPAIGN
IL
618229678
Practice Location Phone/Fax
| Phone: | 2173656207 |
| Fax: | 2173656380 |
Provider Mailing Location
1701 CURTIS RD
CHAMPAIGN
IL
618229678
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |