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Phyllis J. Stout, FNP
Family Nurse Practitioner in Springfield, Missouri
NPI 1457496895

Phyllis J. Stout is a Family Nurse Practitioner based in Springfield, MO and is specialized in Family. Phyllis J. Stout practices in Springfield, MO and has the professional credentials of FNP. The NPI Number for Phyllis J. Stout is 1457496895 and holds a License No. 052911 (Missouri).

The current practice location address for Phyllis J. Stout is 2115 S Fremont Ave, Springfield, MO and can be reached out via phone at 417-820-8099 and via fax at 417-820-8093.

Location: 2115 S Fremont Ave, Springfield, MO, 65801-2580
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Provider Profile Details
NPI Number
1457496895
Provider Name
Phyllis J. Stout
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2115 S Fremont Ave, Springfield, MO, 65801-2580
Phone Number
417-820-8099
Fax Number
417-820-8093
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
431560263 01 TRICARE WEST
429683519 05 MO
171792758 05 AR
institution
Provider Business Practice Location Address Details
Address
2115 S Fremont Ave
City
State
Zip
65804-2239
Phone Number
417-820-8099
Fax Number
417-820-8093
person
Provider Business Mailing Address Details
Address
2115 S Fremont Ave
City
State
Zip
65804-2239
Phone Number
417-820-8099
Fax Number
417-820-8093
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
052911 (Missouri)
Definition
Definition to come...
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