person
Stacy Shourt, PNP
Pediatric Nurse Practitioner in Syracuse, New York
NPI 1700061470

Stacy Shourt is a Pediatric Nurse Practitioner based in Fayetteville, NY and is specialized in Pediatrics. Stacy Shourt practices in Syracuse, NY and has the professional credentials of PNP. The NPI Number for Stacy Shourt is 1700061470 and holds a License No. 16823 (New York).

The current practice location address for Stacy Shourt is 750 E Adams St, Syracuse, NY and can be reached out via phone at 315-464-7231. You can also correspond with Stacy Shourt through the mailing address at 119 BROOKSIDE LN, FAYETTEVILLE, NY - 13066-1509 (mailing address contact number: 562-505-2040).

Location: 750 E Adams St, Syracuse, NY, 13066-1509
person
Provider Profile Details
NPI Number
1700061470
Provider Name
Stacy Shourt
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
750 E Adams St, Syracuse, NY, 13066-1509
Phone Number
315-464-7231
Fax Number
Provider Enumeration Date
12/31/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
79032273 05 CO
institution
Provider Business Practice Location Address Details
Address
750 E Adams St
City
State
Zip
13210-2306
Phone Number
315-464-7231
Fax Number
person
Provider Business Mailing Address Details
Address
750 E Adams St
City
State
Zip
13210-2306
Phone Number
315-464-7231
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
16823 (California)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.