Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jay Staley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265214688

Jay Staley is a Student in an Organized Health Care Education/Training Program in Evanston, Wyoming. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

350 City View Dr Ste 206
Evanston, WY 82930-5326
Phone: (307) 789-7915
Fax: (307) 789-6009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1265214688
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 19, 2023
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023
Mailing address350 City View Dr Ste 206, Evanston, WY 82930-5326

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