MEDICARE: JENNA STOLL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	12075977

General Provider Information

NPI Number	:	1811820814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA STOLL

Provider Business Mailing Address
First Line	:	2635 S DELAWARE AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-2301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3360 N SHERMAN BLVD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-3559
Country	:	US
Telephone Number	:	414-475-8393
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ JENNA STOLL ” Practice Location

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