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NPI Code Detail

MEDICARE: STEPHANIE PIERSON RN

MEDICARE: STEPHANIE PIERSON RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0200XCritical Care Medicine Registered Nurse041347441IL
2163WP2201XAmbulatory Care Registered Nurse041347441IL

General Provider Information

NPI Number : 1316878598
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE PIERSON RN
Provider Business Mailing Address
First Line : 816 FEATHERSTONE RD
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-6300
Country : US
Telephone Number : 815-227-0081
Fax Number :
Provider Business Practice Location Address
First Line : 816 FEATHERSTONE RD
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-6300
Country : US
Telephone Number : 815-227-0081
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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