Stahlberg, Jennifer Lynn

Stahlberg, Jennifer Lynn is an individual health care provider with primary practice located at 230 Morgan Dr , Mccall ID 83638-5509. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Stahlberg, Jennifer Lynn can be contacted via phone (971) 678-3556.

Contact Information

Primary practice address
230 Morgan Dr Mccall ID 83638-5509
Phone: (971) 678-3556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 45772 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 60244 Idaho

Profile Details

NPI number 1730646837
LBN Legal business name Stahlberg, Jennifer Lynn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2019
Last updated Feb 25th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730646837 NPPES
Idaho Other 60244 APRN

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