Jacklyn Kay Stanley, APRN, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Noble, IL. Individual provider (NPI-1).
NPI number1073285482
StatusActive
Last updated in NPPESOct 8, 2026
Details
- NPI
- 1073285482
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jacklyn Kay Stanley
- Credential
- APRN, PMHNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2021
- Certification date
- Oct 8, 2026
- Last updated
- Oct 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 277.005631 | IL | Yes |
Other names
- Katie Stanley (Other Name)
Practice location
113 E Walnut StNoble, IL 62868-1709
Phone 618-852-1395 · Fax 618-822-4196
Mailing address
113 E Walnut StNoble, IL 62868-1709
Phone 618-514-8599 · Fax 618-822-4196
Other practice locations
939 Sunset Rd Sw
Clay City, IL 62824-1113
Clay City, IL 62824-1113
Phone 686-662-2131
203 S Main St
Dieterich, IL 62424-1128
Dieterich, IL 62424-1128
Phone 618-852-1395 · Fax 618-822-4196
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