| Doctor Name: | MS. JESSICA EILEEN STOLZ |
| NPI Number: | 1003093790 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN,MSN,C-FNP |
| License Number: | 57200 |
| Business Practice Address: | 426 8th St Suite 305 Glen Dale, WV - 260381451 |
| Business Phone Number: | 3048435041 |
| Business Fax Number: | 3048434586 |
| Mailing Address: | 426 8th St, Suite 305 GLEN DALE |
| State: | WV |
| Postal Code: | 260381451 |
| Phone Number: | 3048435041 |
| Fax Number: | 3048434586 |
| NPI Enumeration Date: | 01/25/2008 |
| NPI Last Update Date: | 02/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 57200 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |