Individual provider · Type 1 NPI

Ashley Taylor Stout, PA-C

Medical Physician Assistant · Raleigh, NC

NPI number 1992334296 Active

Practice location

3024 New Bern Ave
Raleigh, NC 27610-1247

Call (919) 350-5318 Map

Mailing address

PO Box 603949
Charlotte, NC 28260-3949

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0010-10154 (NC)
Physician Assistant 363A00000X0010-10154 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1992334296

Ashley Taylor Stout, PA-C's National Provider Identifier is 1992334296, issued on Apr 7, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Raleigh, NC. The record was last updated on May 24, 2024.