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NPI Code Detail

MEDICARE: DELEVETTE STOUTE RN

MEDICARE:   DELEVETTE  STOUTE  RN
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
1163W00000XRegistered Nurse879529TX

General Provider Information

NPI Number : 1992671143
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELEVETTE STOUTE RN
Provider Business Mailing Address
First Line : 2140 MEDICAL DISTRICT DR APT 3009
Second Line :
City : DALLAS
State : TX
Zip : 75235-8264
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2140 MEDICAL DISTRICT DR APT 3009
Second Line :
City : DALLAS
State : TX
Zip : 75235-8264
Country : US
Telephone Number : 904-993-1808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2025
Last Update Date : 10/15/2025

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Directions to “ DELEVETTE STOUTE RN” Practice Location

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