Individual provider · Type 1 NPI
Jacklyn Kay Stanley, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Noble, IL
NPI number
1073285482
Active
Practice location
113 E Walnut St
Noble, IL 62868-1709
Fax (618) 822-4196
Other practice locations
- 203 S Main St, Dieterich, IL 62424-1128 · (618) 852-1395
- 939 Sunset Rd SW, Clay City, IL 62824-1113 · (686) 662-2131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 277.005631 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1073285482
Jacklyn Kay Stanley, APRN, PMHNP-BC's National Provider Identifier is 1073285482, issued on Oct 4, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Noble, IL. The record was last updated on Oct 8, 2026.