Provider Demographics
NPI:1750188520
Name:STILLWELL-EDLER, JAYMIE
Entity type:Individual
Prefix:
First Name:JAYMIE
Middle Name:
Last Name:STILLWELL-EDLER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4530 A ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4818
Mailing Address - Country:US
Mailing Address - Phone:402-735-0987
Mailing Address - Fax:
Practice Address - Street 1:4530 A ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4818
Practice Address - Country:US
Practice Address - Phone:402-735-0987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion