Healthcare Provider Details

I. General information

NPI: 1104720648
Provider Name (Legal Business Name): JORIE STIRLAND BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 BUTTERFLY GARDENS DR
COLUMBUS OH
43215-7508
US

IV. Provider business mailing address

380 BUTTERFLY GARDENS DR
COLUMBUS OH
43215-7508
US

V. Phone/Fax

Practice location:
  • Phone: 614-355-7269
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN.518371
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: