Doctor Name: | JACOB J STINSON |
NPI Number: | 1750525416 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | |
Business Practice Address: | 801 Green Valley Rd Greensboro, NC - 274087021 |
Business Phone Number: | 3368326873 |
Business Fax Number: | 3368326647 |
Mailing Address: | 1719 Clarendon Dr, GREENSBORO |
State: | NC |
Postal Code: | 274102928 |
Phone Number: | 2072173139 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2009 |
NPI Last Update Date: | 12/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |