Individual
MS. SABRINA R STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
183 LANE STREET, EQUALITY FAMILY PRACTICE, EQUALITY, IL 62934-0890
(618) 276-5196
(618) 276-5197
Mailing address
PO BOX 90, EQUALITY FAMILY PRACTICE, EQUALITY, IL 62934-0890
(618) 276-5196
(618) 276-5197
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209009193
IL
Other
Enumeration date
01/30/2012
Last updated
08/29/2016
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