Individual
JACLYN GROGAN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
499 FARMINGTON AVE STE 2B, FARMINGTON, CT 06032-1943
(860) 947-8500
(860) 524-8643
Mailing address
1290 SILAS DEANE HWY, HHC CVO, WETHERSFIELD, CT 06109-4337
(860) 972-5507
(860) 972-7040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14883
CT
363LF0000X
Family Nurse Practitioner
342661
NY
Other
Enumeration date
06/26/2018
Last updated
09/17/2025
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