Individual provider · Type 1 NPI

Kelly Lynn Stout, CPNP

Pediatric Nurse Practitioner · Port St. Lucie, FL

NPI number 1780072330 Active

Practice location

1850 SW Fountainview Blvd Ste 105
Port St. Lucie, FL 34986-4527

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X11030455 (FL)

Pediatric Nurse Practitioner: Definition to come...

11 other providers at this address

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About NPI 1780072330

Kelly Lynn Stout, CPNP's National Provider Identifier is 1780072330, issued on Jan 6, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jan 31, 2024.