Jackiestonellc
Obstetrics & Gynecology, Gynecology in Greenville, NC. Organization (NPI-2).
NPI number1669396263
StatusActive
Last updated in NPPESAug 6, 2026
Details
- NPI
- 1669396263
- Entity type
- Organization (NPI-2)
- Legal business name
- Jackiestonellc
- Organization subpart
- No
- Enumeration date
- Aug 6, 2026
- Certification date
- Aug 6, 2026
- Last updated
- Aug 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | – | – | Yes |
| 2083B0002X | Preventive Medicine, Obesity Medicine | – | – |
Practice location
2120 E Fire Tower Rd Ste 107-1070Greenville, NC 27858-9284
Phone 256-280-7922
Mailing address
3904 Cantata DrGreenville, NC 27858-5328
Phone 256-280-7922
Authorized official
Jacquelyn Amber Stone
President
2562807922
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