Jennifer Elaine Stiller, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5009461 Issued in NC

Practice address

19109 W Catawba Ave
Cornelius, NC 28031-5611

Phone

(980) 580-6070

Fax

(704) 280-8043

NPI assigned

Jul 20, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1750804811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19109 W CATAWBA AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315611",
            "telephone_number": "980-580-6070",
            "fax_number": "704-280-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19109 W CATAWBA AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315611",
            "telephone_number": "980-580-6070",
            "fax_number": "704-280-8043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Dale Earnhardt Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Kannapolis",
            "state": "NC",
            "postal_code": "280810309",
            "country_code": "US",
            "telephone_number": "704-250-5869",
            "fax_number": "704-250-5856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILLER",
        "first_name": "JENNIFER",
        "middle_name": "ELAINE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren Jay Steinmuller, M.D.
• Steps Ahead, Inc.
• Katharine Steuterman
• Jennifer Buck Stevens, MS, LCMHCA
• Christine Steward
• Heidi Katherine Stoddard, NP-C
• Hannah Sturgill
• Lauren Ashley Stutts, PH.D.
• Julie Suddeth, LCMHC
• Alice Sudduth

• Family Nurse Practitioner in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.