Individual
JAY N STILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
225 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-1846
(502) 561-4263
(502) 561-4221
Mailing address
225 ABRAHAM FLEXNER WAY, STE 700, LOUISVILLE, KY 40202-1846
(502) 561-4263
(502) 561-4221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28098755A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
2031A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100475380
—
IN
Enumeration date
09/07/2005
Last updated
11/02/2020
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