MRS. STEPHANIE WICKMAN APN NPI 1780052423

NPI Information

  • NPI: 1780052423
  • Provider Name: MRS. STEPHANIE WICKMAN, APN
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 3801 W CONESTOGA TRL
    PRAIRIE GROVE, IL
    ZIP 60012
  • Phone: (847) 209-0128

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NPI Details

MRS. Stephanie Wickman, APN is an adult health nurse practitioner in Prairie Grove, IL. MRS. Stephanie Wickman, APN NPI is 1780052423. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3801 W CONESTOGA TRL
PRAIRIE GROVE, IL
ZIP 60012-081
Phone: (847) 209-0128

The enumeration date for this NPI number is 9/11/2015 and was last updated on 9/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health209012707ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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