NPI 1124659248

Jennifer Stockwell

Practitioner Funeral Director New Buffalo, MI

Practice location

Address: 447 S Whittaker St, New Buffalo, MI 49117-1763
Phone: (844) 214-4446
Mailing address: 2418 W Bloomingdale Ave STE C2, Chicago, IL 60647-4368

Registered specialties

Funeral Director Primary

Other Service Providers Taxonomy 176P00000X Licence 4501008202 (MI)

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Registry record

NPI: 1124659248
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2020
Record last updated: 28 Jan 2020

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.