Stacey Tebbe
NPI 1073158119 · Nurse Practitioner · Mattoon, IL
Stacey Tebbe is a Nurse Practitioner provider in Mattoon, IL (NPI 1073158119).
Provider details
- NPI number
- 1073158119
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 209020253 (IL)
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-11-13
- Last updated
- 2020-10-29
- Certified
- 2020-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.