Individual
JAYMIE A STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60619311
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61426711
WA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
10008957
OR
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
14286732-4405
UT
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
AP61426711
WA
Other
Enumeration date
02/12/2021
Last updated
08/19/2026
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