IndividualActive
Jacqueline Stoll, NP
NPI 1770735136 · Psychiatric/Mental Health Nurse Practitioner · Wasilla, AK
Provider details
- NPI number
- 1770735136
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- R41453 (NM)
Practice location
1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Phone: (907) 729-3300
Fax: (907) 729-8607
Mailing address
7033 E Tudor Rd
Anchorage, AK 99507-1262
Registry dates
- Enumerated
- 2008-10-16
- Last updated
- 2022-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.