Individual
JESSIE STILLWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1208 DESERT ST NE, UNIONTOWN, OH 44685-8568
(330) 618-1866
Mailing address
1208 DESERT ST NE, UNIONTOWN, OH 44685-8568
(330) 618-1866
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
15904
OH
164W00000X
Licensed Practical Nurse
PN121401
OH
Other
Enumeration date
05/16/2016
Last updated
11/09/2022
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