Ms. Kelly Lynn Stout
CPNP | Nurse Practitioner - Pediatrics
1850 Sw Fountainview Blvd Ste 105, Port St Lucie
Florida, 34986-4527
772-336-2818
Ms. Kelly Lynn Stout is a Port St Lucie, Florida based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Ms. Kelly Lynn Stout is 11030455 for Pediatrics in Florida. Her current practice location is 1850 Sw Fountainview Blvd Ste 105, Port St Lucie. Patients can reach her at 772-336-2818. Ms. Kelly Lynn Stout is CPNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1780072330.
Ms. Kelly Lynn Stout specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Ms. Kelly Lynn Stout speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Kelly Lynn Stout |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | CPNP |
| Practice Address: | 1850 Sw Fountainview Blvd Ste 105, Port St Lucie,
Florida, 34986-4527 |
| Phone: | 772-336-2818 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1780072330 |
| NPI Enumeration Date: | 06 Jan, 2015 |
| NPI Last Update On: | 31 Jan, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Kelly Lynn Stout are as mentioned below.
| License Number | Specialization | State | Status | |
| 11030455 | Pediatrics | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Kelly Lynn Stout such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1780072330 | Medicaid | North Carolina | |
| NP3486 | Medicaid | South Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Kelly Lynn Stout
1850 Sw Fountainview Blvd Ste 105,
Port St Lucie, Florida |
| Zip: | 34986-4527 |
| Phone Number: | 772-336-2818 |
Patients can reach Ms. Kelly Lynn Stout at
1850 Sw Fountainview Blvd Ste 105, Port St Lucie, Florida or can
call to book an appointment on 772-336-2818.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.