JILL NICOLE STAHL
NPI 1043778236
Nurse Practitioner in Wilkes Barre, PA

Q: What is Jill Stahl's NPI number?

The NPI number for Jill Stahl is 1043778236. It was assigned to this individual provider in the NPPES registry on March 6, 2019. The provider is also known as Jill Nicole Gordon.

Q: What is Jill Stahl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jill Stahl was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 06, 2019

677 KIDDER ST, WILKES BARRE, PA 18702(570) 825-2046 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jill Nicole Stahl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILL NICOLE STAHL (NPI 1043778236) is an individual nurse practitioner in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (611397) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1043778236

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJILL NICOLE STAHL

Location Address677 KIDDER STWilkes Barre, PA 18702-6908

Mailing Address103 Electric StClarks Summit, PA 18411-1931 · (570) 294-2341

Phone(570) 825-2046

Sole ProprietorNo

Enumeration DateMarch 6, 2019

✔ NPI 1043778236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · 611397

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

677 KIDDER ST, Wilkes Barre, PA 18702

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Other Names 1

Former Name (1)Jill Nicole Gordon

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Stahl's NPI number?

The NPI number for Jill Stahl is 1043778236. It was assigned to this individual provider in the NPPES registry on March 6, 2019. The provider is also known as Jill Nicole Gordon.

Where is Jill Stahl located?

Jill Stahl practices at 677 Kidder St, Wilkes Barre, PA 18702. The listed phone number is (570) 825-2046.

What is Jill Stahl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jill Stahl was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.