MEDICARE: ANNA MORGAN STOUT

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	363LF0000X	Family Nurse Practitioner	1-144892	AL

General Provider Information

NPI Number	:	1831795343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA MORGAN STOUT

Provider Business Mailing Address
First Line	:	PO BOX 11407 DEPT#5839
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35246-0001
Country	:	US
Telephone Number	:	256-381-6673
Fax Number	:	256-381-8091

Provider Business Practice Location Address
First Line	:	1100 S JACKSON HWY STE 250
Second Line	:
City	:	SHEFFIELD
State	:	AL
Zip	:	35660-5774
Country	:	US
Telephone Number	:	256-381-6673
Fax Number	:	256-381-8091

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

Provider Enumeration Date	:	12/09/2020
Last Update Date	:	06/21/2024

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Directions to “ ANNA MORGAN STOUT ” Practice Location

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