Individual provider · Type 1 NPI

Phyllis J. Stout, FNP

Family Nurse Practitioner · Springfield, MO

NPI number 1457496895 Active

Practice location

2115 S Fremont Ave, Suite 1000
Springfield, MO 65804-2239

Call (417) 820-8099 Map

Fax (417) 820-8093

Mailing address

PO Box 2580
Springfield, MO 65801-2580

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	052911 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1457496895

Phyllis J. Stout, FNP's National Provider Identifier is 1457496895, issued on Feb 21, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Springfield, MO. The record was last updated on Nov 18, 2008.