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General NPI Number Information
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NPI Number | 1841217445
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Entity Type | Individual
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Provider Name | JEFF STANLEY M.D., FACP, FACEP
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 500 J CLYDE MORRIS BLVD
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-1929
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Country | US
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Telephone | 757-594-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 217 ARCHERS MEAD
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-6526
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Country | US
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Telephone | 757-253-1727
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | D26276
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD-042681-E
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101054008
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License Number State | VA
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