Individual
JENNIFER KATHLEEN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
320 WARD AVE # 804, HONOLULU, HI 96814-4001
(866) 389-2727
Mailing address
847 AKUMU ST, KAILUA, HI 96734-3837
(919) 862-7495
(806) 401-0101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP134260
TX
363LF0000X
Family Nurse Practitioner
Primary
APRN-3379-0
HI
363LF0000X
Family Nurse Practitioner
F1214439
NC
363LF0000X
Family Nurse Practitioner
RN-102900-0
HI
Other
Enumeration date
10/10/2015
Last updated
11/15/2021
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