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Organization

STOVALL PSYCHIATRIC SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAYMIE STOVALL PMHNP-BC (ARNP)
(986) 270-4780
Entity
Organization

Contact information

Practice address
6954 N COURCELLES PKWY, COEUR D ALENE, ID 83815-8334
(986) 270-4780
Mailing address
6954 N COURCELLES PKWY, COEUR D ALENE, ID 83815-8334

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
06/03/2026
Last updated
06/10/2026
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