Individual
JENNIFER LYNE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 W SEMANDS ST, CONROE, TX 77301-1867
(936) 756-5598
Mailing address
40515 COUNTRY FOREST DR, MAGNOLIA, TX 77354-1356
(281) 743-8059
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
952306
TX
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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