Individual
JOLENE STELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
271 RAILROAD ST, PHILIPSBURG, PA 16866-2300
(814) 342-2740
(814) 342-6975
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 342-2740
(814) 342-6975
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057088
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391960
FQHC MEDICARE
PA
Enumeration date
12/11/2014
Last updated
03/08/2017
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