Individual
JAYLN MCKENZIE STACKHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2905 REPRESENTATION TER, COLUMBUS, OH 43207-6562
(740) 408-0497
Mailing address
2905 REPRESENTATION TER, COLUMBUS, OH 43207-6562
(740) 408-0497
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN.498975
OH
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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