Individual
JESSICA NICOLE STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
4003 KRESGE WAY STE 227, LOUISVILLE, KY 40207-4652
(502) 281-0266
Mailing address
4602 CLARK STATION RD, FINCHVILLE, KY 40022-5758
(502) 802-2954
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4007597
KY
Other
Enumeration date
01/26/2023
Last updated
02/28/2025
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