Individual provider · Type 1 NPI
Jacqueline Marie Stoll, NP
Psychiatric/Mental Health Nurse Practitioner · Wasilla, AK
NPI number
1770735136
Active
Practice location
1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Fax (907) 729-8607
Mailing address
7033 E Tudor Rd
Anchorage, AK 99507-1262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R41453 (NM) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 9406716 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1770735136
Jacqueline Marie Stoll, NP's National Provider Identifier is 1770735136, issued on Oct 16, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wasilla, AK. The record was last updated on Jun 8, 2022.