# JAIMI LYNNE STOCKSTILL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1588179055
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | AP136003 | TX | — |
| 363LF0000X | Family Nurse Practitioner | AP136003 | TX | Yes |

## Other

- **Enumeration date:** 12/06/2017
- **Last updated:** 07/26/2019