Provider Demographics
NPI:1104150713
Name:STILLINGS, JANIS ROSCOE
Entity type:Individual
Prefix:
First Name:JANIS
Middle Name:ROSCOE
Last Name:STILLINGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANIS
Other - Middle Name:
Other - Last Name:ROSCOE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:402 COMPTON CT
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3650
Mailing Address - Country:US
Mailing Address - Phone:469-656-1937
Mailing Address - Fax:
Practice Address - Street 1:402 COMPTON CT
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-3650
Practice Address - Country:US
Practice Address - Phone:469-656-1937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula