Individual
JENNIFER GAYLE STILLWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
202 OVERLOOK ESTATES DRIVE, SHEPHERDSVILLE, KY 40165
(502) 264-1403
Mailing address
202 OVERLOOK ESTATES DRIVE, SHEPHERDSVILLE, KY 40165
(502) 264-1403
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2035227
KY
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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