Doctor Name: | JAMIE LYNN STOUGHTON |
NPI Number: | 1083057988 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, FNP |
License Number: | COA.14594-NP |
Business Practice Address: | 2120 Stringtown Rd Grove City, OH - 431232931 |
Business Phone Number: | 8663892727 |
Business Fax Number: | |
Mailing Address: | 1420 Stringtown Rd Ne, LANCASTER |
State: | OH |
Postal Code: | 431309748 |
Phone Number: | 7408080048 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2013 |
NPI Last Update Date: | 12/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA.14594-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |