Individual
MRS. JACKLYN KAY STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
939 SUNSET RD SW, CLAY CITY, IL 62824-1113
(686) 662-2131
Mailing address
939 SUNSET RD SW, CLAY CITY, IL 62824-1113
(618) 844-3224
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209024537
IL
Other
Enumeration date
10/04/2021
Last updated
03/07/2022
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