IndividualActive
Stacey Paule, DNP, RN, PNP-AC
NPI 1114754629 · Critical Care Pediatric Nurse Practitioner · Belleville, IL
Provider details
- NPI number
- 1114754629
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, RN, PNP-AC
- Sex
- Female
- Sole proprietor
- No
- License
- 2024038091 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
112 N 82nd St
Belleville, IL 62223-2121
Phone: (618) 420-1532
Approximate (ZIP-level) locationGet directions
Mailing address
112 N 82nd St
Belleville, IL 62223-2121
Registry dates
- Enumerated
- 2024-09-18
- Last updated
- 2024-09-18
- Certified
- 2024-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.