Individual provider · Type 1 NPI
Aimee N. Jorgenson Stough, APRN CPNP-PC/AC
Pediatric Nurse Practitioner · Tavernier, FL
NPI number
1376143487
Active
Practice location
91550 Overseas Hwy Ste 209
Tavernier, FL 33070-2513
Mailing address
162 Cocoa Dr
Tavernier, FL 33070-2046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | 11009518 (FL) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 11009518 (FL) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1376143487
Aimee N. Jorgenson Stough, APRN CPNP-PC/AC's National Provider Identifier is 1376143487, issued on Oct 28, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Tavernier, FL. The record was last updated on Oct 28, 2020.