MEDICARE: MEGHAN STOUGH FNP-BC, DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	11043816	FL
2	363L00000X	Nurse Practitioner	0024194359	VA

General Provider Information

NPI Number	:	1366320756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN STOUGH FNP-BC, DNP

Provider Business Mailing Address
First Line	:	3200 MORNING GLORY CT
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-2742
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3375 BURNS RD STE 208
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4361
Country	:	US
Telephone Number	:	561-944-5534
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2025
Last Update Date	:	04/07/2026

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