Individual
MRS. JILL COLLEEN STAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1501 WINSLOW LN, MADISON, WI 53711-3822
(608) 692-2617
Mailing address
1501 WINSLOW LN, MADISON, WI 53711-3822
(608) 692-2617
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
114114-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114114-030
R.N. NURSING LISENCE
WI
Enumeration date
10/04/2010
Last updated
10/04/2010
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