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Individual

JASON STOUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA, DNP

Contact information

Practice address
800 ROSE STREET, LEXINGTON, KY 40536-0293
(859) 323-5956
(859) 323-1080
Mailing address
1077 DUVAL ST APT 101, LEXINGTON, KY 40515-6482
(859) 582-1118

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1153811
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3018307
KY

Other

Enumeration date
10/23/2021
Last updated
09/01/2022
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