Individual
JILL STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-PC
Contact information
Practice address
1730 E WHITESTONE BLVD STE 101, CEDAR PARK, TX 78613-7285
(877) 800-5722
Mailing address
205 E UNIVERSITY AVE STE 200, GEORGETOWN, TX 78626-6821
(512) 686-0207
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP137891
TX
Other
Enumeration date
07/10/2018
Last updated
05/16/2019
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