Stout, Jeressa

Stout, Jeressa is an individual health care provider with primary practice located at 4101 S 4Th St , Leavenworth KS 66048-5014. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Stout, Jeressa can be contacted via phone (913) 804-7102.

Contact Information

Primary practice address
4101 S 4Th St Leavenworth KS 66048-5014
Phone: (913) 804-7102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 108273 Kansas

Profile Details

NPI number 1467149674
LBN Legal business name Stout, Jeressa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2023
Last updated Apr 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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