Individual
TAMMY L STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
3406 COLLEGE ST # 100, BEAUMONT, TX 77701-4612
(409) 813-1677
(409) 951-1691
Mailing address
3406 COLLEGE ST # 200, BEAUMONT, TX 77701-4612
(409) 730-2068
(409) 232-0559
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
541827
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP111209
TX
Other
Enumeration date
06/29/2006
Last updated
12/20/2016
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