Individual
MONICA L STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC FNP-C
Contact information
Practice address
1235 LAKE POINTE PKWY, SUGAR LAND, TX 77478-4076
(708) 505-5476
Mailing address
1235 LAKE POINTE PKWY, SUGAR LAND, TX 77478-4076
(708) 505-5476
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
930911
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP135903
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
397202802
—
TX
05
—
397202803
—
TX
Enumeration date
10/10/2017
Last updated
01/27/2023
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