Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 0024183096 | VA |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 95014298 | CA |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 95171571 | CA |
NPI | 1013542471 |
---|---|
Provider Name | Ms. Jami Stehlin |
First Address | Alexandria, VA 22314-4305 |
Second Address | Falls Church, VA 22042-3307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2020 |
Last Update Date | 01/02/2022 |