1588983217 NPI number — MRS. JILL WOLSTENHOLME STEVENSON APN

Table of content: MRS. JILL WOLSTENHOLME STEVENSON APN (NPI 1588983217)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588983217 NPI number — MRS. JILL WOLSTENHOLME STEVENSON APN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEVENSON
Provider First Name:
JILL
Provider Middle Name:
WOLSTENHOLME
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
APN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WOLSTENHOLME
Provider Other First Name:
JILL
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
APN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1588983217
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/10/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1600 ROCKLAND RD
Provider Second Line Business Mailing Address:
DEPT. OF ANESTHESIOLOGY
Provider Business Mailing Address City Name:
WILMINGTON
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19803-3607
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-651-4200
Provider Business Mailing Address Fax Number:
302-651-6410

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1600 ROCKLAND RD
Provider Second Line Business Practice Location Address:
DEPT. OF ANESTHESIOLOGY
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19803-3607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-651-4200
Provider Business Practice Location Address Fax Number:
302-651-6410
Provider Enumeration Date:
05/20/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  L10026935 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X , with the licence number: LJ0000250 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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