Provider Demographics
NPI:1588983217
Name:STEVENSON, JILL WOLSTENHOLME (APN)
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:WOLSTENHOLME
Last Name:STEVENSON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MRS
Other - First Name:JILL
Other - Middle Name:
Other - Last Name:WOLSTENHOLME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:1600 ROCKLAND RD
Mailing Address - Street 2:DEPT. OF ANESTHESIOLOGY
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3607
Mailing Address - Country:US
Mailing Address - Phone:302-651-4200
Mailing Address - Fax:302-651-6410
Practice Address - Street 1:1600 ROCKLAND RD
Practice Address - Street 2:DEPT. OF ANESTHESIOLOGY
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3607
Practice Address - Country:US
Practice Address - Phone:302-651-4200
Practice Address - Fax:302-651-6410
Is Sole Proprietor?:No
Enumeration Date:2010-05-20
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL10026935363L00000X
DELJ0000250363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner