Individual
JILL NICOLE STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
677 KIDDER ST, WILKES BARRE, PA 18702-6908
(570) 825-2046
Mailing address
103 ELECTRIC ST, CLARKS SUMMIT, PA 18411-1931
(570) 294-2341
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
611397
PA
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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