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Individual

JEAN EVANS STALCUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5472 OLD SHELL RD, MOBILE, AL 36608-3046
(251) 378-0200
Mailing address
5472 OLD SHELL RD, MOBILE, AL 36608-3046
(251) 378-0200

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-171524
AL
363LF0000X
Family Nurse Practitioner
F01231142
AL

Other

Enumeration date
01/25/2023
Last updated
01/25/2023
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