Individual
JANICE MCSHANE STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP
Contact information
Practice address
600 GRESHAM DR STE 8630B, NORFOLK, VA 23507-1904
(757) 388-6115
Mailing address
600 GRESHAM DR STE 8630B, NORFOLK, VA 23507-1904
(757) 388-6115
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024179365
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
0024179365
VA
363LG0600X
Gerontology Nurse Practitioner
0024179365
VA
Other
Enumeration date
05/26/2020
Last updated
11/22/2023
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