Individual
TERESA ANN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, CDE
Contact information
Practice address
303 N JACKSON ST, MORRISON, IL 61270-3042
(815) 772-4003
Mailing address
303 N JACKSON ST, MORRISON, IL 61270-3042
(815) 772-4003
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209017608
IL
Other
Enumeration date
11/30/2012
Last updated
02/06/2025
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