IndividualActive
Jayson Stilwell, NURSE PRACTITIONER
NPI 1497643183 · Gerontology Registered Nurse · San Ysidro, CA
Provider details
- NPI number
- 1497643183
- Entity type
- Individual
- Primary specialty
- Gerontology Registered NurseNursing Service Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Male
- Sole proprietor
- No
- License
- 95035735 (CA)
Mailing address
4315 3rd Ave Apt 2310
San Diego, CA 92103-1567
Registry dates
- Enumerated
- 2025-06-24
- Last updated
- 2025-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.