Individual
JENNIFER CAREY STULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4000 STERRETTANIA RD UPPR LEVEL, ERIE, PA 16506-4125
(814) 835-6640
(814) 835-6649
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2529
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0S013868
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017397170001
—
PA
Enumeration date
06/15/2006
Last updated
06/12/2023
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