Individual
MRS. JULIE MAY STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
15945 CLAYTON RD STE 310, BALLWIN, MO 63011-2493
(636) 863-1356
(636) 893-1358
Mailing address
6 SILVER LN, KIRKWOOD, MO 63122-5819
(314) 278-6712
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
086973
MO
Other
Enumeration date
03/07/2007
Last updated
03/23/2023
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