Individual
JENNIFER D STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 EDMUNDSON PL, SUITE 310, COUNCIL BLUFFS, IA 51503-4658
(712) 396-4280
(712) 396-4180
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34707
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003058280
—
IA
05
—
470687317-12
—
NE
Enumeration date
04/02/2009
Last updated
04/04/2014
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