JIMMY DEE STANLEY PA-C NPI 1144402264

NPI Information

NPI: 1144402264
Provider Name: JIMMY DEE STANLEY, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
6900 ALDEN DR
FE WARREN AFB, WY
ZIP 82005
Phone: (307) 773-3525
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Jimmy Dee Stanley, PA-C is a medical physician assistant in Fe Warren Afb, WY. Jimmy Dee Stanley, PA-C NPI is 1144402264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6900 ALDEN DR
FE WARREN AFB, WY
ZIP 82005-945
Phone: (307) 773-3525

The enumeration date for this NPI number is 11/30/2007 and was last updated on 7/18/2023.

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
1	363AM0700X	Physician Assistant	Medical			Yes

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: 5/5/2024

NPI Synchronization or Removal

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