Individual
JANALEI EVE STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
6565 FANNIN ST # B452, HOUSTON, TX 77030-2703
(713) 441-3620
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
754162
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP122693
TX
363LA2100X
Acute Care Nurse Practitioner
AP7763
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8343NC
BLUE CROSS BLUE SHIELD
TX
01
—
P01254136
MEDICARE RR
TX
Enumeration date
11/08/2012
Last updated
09/27/2024
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