Individual
EVELYN CORINNE STUMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5000
(740) 446-5883
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1562
(740) 446-5000
(740) 446-5583
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0028629
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0480845
—
OH
Enumeration date
04/14/2021
Last updated
10/13/2023
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