Individual
MRS. JESSICA JOY STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2444 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4327
(308) 382-1100
(308) 384-4306
Mailing address
PO BOX 550, GRAND ISLAND, NE 68802-0550
(308) 382-1100
(308) 384-4306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1721
NE
Other
Enumeration date
02/26/2013
Last updated
11/10/2023
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