STACIA A DENNISON, FNP-BC, Family EFFINGHAM, IL

Contact Information

STACIA A DENNISON, FNP-BC

1303 W EVERGREEN AVE STE 200
EFFINGHAM, IL 62401-1638

Phone: 217-342-3400
Fax: 217-342-3477
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	363LF0000X	50	Nurse Practitioner
Medical-Surgical	163WM0705X
Nurse Practitioner	363L00000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for STACIA A DENNISON · (Female)

NPI Number	`1164626826`
Status	Active
Credentials	FNP-BC (Family Nurse Practitioner)
Entity	Individual
Enumeration date	06/14/2007
Last updated	08/16/2022 - About 4 years ago
Sole proprietor ¹	No
Identifiers	IL License # 041346618 IL License # 209015810
Hospital affiliation(s)	CLAY COUNTY HOSPITAL - (Critical Access) 911 STACY BURK DRIVE FLORA, IL 62839 SARAH BUSH LINCOLN HEALTH CENTER - (Acute Care) 1000 HEALTH CENTER DRIVE P O BOX 372 MATTOON, IL 61938 ST ANTHONYS MEMORIAL HOSPITAL - (Acute Care) 503 N MAPLE STREET EFFINGHAM, IL 62401

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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STACIA A DENNISON, FNP-BC – NPI #1164626826Family

Contact Information

Specialty

Family

Medical-Surgical

Nurse Practitioner

NPI Profile & details for STACIA A DENNISON · (Female)

Reviews for STACIA A DENNISON

STACIA A DENNISON, FNP-BC – NPI #1164626826
Family