person
Jill T Stang, ANP
Adult Health Nurse Practitioner in St Cloud, Minnesota
NPI 1992796841

Jill T Stang is an Adult Health Nurse Practitioner based in St Cloud, MN and is specialized in Adult Health. Jill T Stang practices in St Cloud, MN and has the professional credentials of ANP. The NPI Number for Jill T Stang is 1992796841 and holds a License No. R1237351 (Minnesota).

The current practice location address for Jill T Stang is 1520 Northway Court, St Cloud, MN and can be reached out via phone at 320-251-1775 and via fax at 320-240-3131.

Location: 1520 Northway Court, St Cloud, MN, 56303
person
Provider Profile Details
NPI Number
1992796841
Provider Name
Jill T Stang
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
1520 Northway Court, St Cloud, MN, 56303
Phone Number
320-251-1775
Fax Number
320-240-3131
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002219500 01 MEDICAL ASSISTANCE
1014181 01 PREFERRED ONE
86D79ST 01 BLUE CROSS BLUE SHIELD
HP23116 01 HEALTH PARTNERS
R1237351 01 MN LICENSE NUMBER
0110555 01 MEDICA HEALTH PLANS
122925 01 U CARE
institution
Provider Business Practice Location Address Details
Address
1520 Northway Court
City
State
Zip
56303
Phone Number
320-251-1775
Fax Number
320-240-3131
person
Provider Business Mailing Address Details
Address
1520 Northway Court
City
State
Zip
56303
Phone Number
320-251-1775
Fax Number
320-240-3131
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
R1237351 (Minnesota)
Definition
Definition to come...
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