NPI 1053441741

Jodi a Stull, CST

Practitioner Surgical Technologist Lafayette, IN

Practice location

Address: 904 South St, Lafayette, IN 47901-1416
Phone: (765) 742-2441
Fax: (765) 172-2344
Mailing address: PO Box 4699, Lafayette, IN 47903-4699

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 079325 (IN)

Other Specialist/Technologist, Other providers in Indiana →

Registry record

NPI: 1053441741
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.