Individual
JAYMIE A STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60619311
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61426711
WA
Other
Enumeration date
02/12/2021
Last updated
05/22/2023
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