JACQUELINE MARIE STOLL NP NPI 1770735136

NPI Information

NPI: 1770735136
Provider Name: JACQUELINE MARIE STOLL, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1431 RIVERPLACE BLVD APT 1102
JACKSONVILLE, FL
ZIP 32207
Phone: (505) 274-5823
Get Directions

Jacqueline Marie Stoll, NP is a psychiatric/mental health nurse practitioner in Jacksonville, FL. Jacqueline Marie Stoll, NP NPI is 1770735136. 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:

1431 RIVERPLACE BLVD APT 1102
JACKSONVILLE, FL
ZIP 32207-103
Phone: (505) 274-5823

The NPI 1770735136 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/16/2008 and was last updated on 4/3/2020.

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	363LA2200X	Nurse Practitioner	Adult Health	R41453	NEW MEXICO	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	9406716	FLORIDA	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: 11/14/2023

NPI Synchronization or Removal

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