Individual
JENNIFER LYNN STAHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
23853 NOOKACHAMP HILLS DR, MOUNT VERNON, WA 98274-9167
(971) 678-3556
Mailing address
230 MORGAN DR, MCCALL, ID 83638-5509
(971) 678-3556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61083713
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60244
APRN
ID
Enumeration date
02/25/2019
Last updated
09/04/2025
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