Jaclyn Grogan Stout, FNP is a family nurse practitioner in New York, NY with 4 years of experience. Jaclyn Grogan Stout, FNP NPI is 1275028896. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1275 YORK AVE
NEW YORK, NY
ZIP 10065-007
Phone: (212) 639-6987
The NPI 1275028896 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/26/2018 and was last updated on 6/26/2018.