MS. KELLY STOUT, CPNP

Nurse Practitioner - Pediatrics

Active Individual
NPI: 1780072330

Practice Address

1850 SW FOUNTAINVIEW BLVD STE 105
Port St Lucie, FL 34986

Phone: (772) 336-2818

Specialties

Specialty Code Primary License
Nurse Practitioner - Pediatrics 363LP0200X Yes 11030455 (FL)

Frequently Asked Questions

NPI 1780072330 is the National Provider Identifier for MS. KELLY STOUT, CPNP, a Nurse Practitioner - Pediatrics provider located in Port St Lucie, FL. This NPI was enumerated on January 6, 2015.
MS. KELLY STOUT, CPNP practices at 1850 SW FOUNTAINVIEW BLVD STE 105, Port St Lucie, FL 34986.

Quick Facts

NPI
1780072330
Type
Individual
Enumerated
Jan 6, 2015
Last Updated
Jan 31, 2024

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