Individual
MRS. JEAN F STANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
400 E 8TH ST, ANNISTON, AL 36207-5754
(256) 237-8527
(256) 237-0208
Mailing address
PO BOX 700, ANNISTON, AL 36202-0700
(256) 237-8527
(256) 237-0208
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1053066
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000029315
—
AL
01
—
051029315
BCBS
AL
Enumeration date
12/13/2005
Last updated
06/24/2010
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