Individual
MS. DJUANA GAIL STOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
501 FRANKLIN AVE STE 140, GARDEN CITY, NY 11530-5807
(516) 584-7199
Mailing address
501 FRANKLIN AVE STE 140, GARDEN CITY, NY 11530-5807
(516) 584-7199
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305251-1
NY
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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