Individual
JACOB A. STOLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CRNA
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8487
(614) 293-8153
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8487
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.12406
OH
367500000X
Certified Registered Nurse Anesthetist
COA12406NA
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3157864
—
OH
Enumeration date
06/07/2011
Last updated
04/05/2024
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