Individual
NATALIE EBERL STACKLIN-JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
428 WASHINGTON ST, WATERTOWN, NY 13601-4832
(419) 561-1412
Mailing address
17 N JEFFERSON ST, CARTHAGE, NY 13619-1130
(419) 561-1412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.417228
OH
363L00000X
Nurse Practitioner
310259
NY
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0027297
OH
Other
Enumeration date
08/28/2020
Last updated
12/20/2022
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