Individual provider · Type 1 NPI

Jamison Marie Stout, MD

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1104764760 Active

Practice location

6911 Convoy Ct Fl 2
San Diego, CA 92111-1014

Call (833) 574-2273 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104764760

Jamison Marie Stout, MD's National Provider Identifier is 1104764760, issued on Mar 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Mar 24, 2026.