Stacy Shourt

PNP | Nurse Practitioner - Pediatrics

750 E Adams St, Syracuse
  New York, 13210-2306
315-464-7231
May or may not accept Medicare Nurse Anesthetist in Syracuse, New York.
Stacy Shourt is a Syracuse, New York based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Stacy Shourt is 382505 for Pediatrics in New York. Her current practice location is 750 E Adams St, Syracuse. Patients can reach her at 315-464-7231. Stacy Shourt is PNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1700061470.
Stacy Shourt 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:
Stacy Shourt speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Stacy Shourt
Specialization: Pediatrics Nurse Practitioner (PNP)
Gender:Female
Credentials: PNP
Practice Address:750 E Adams St, Syracuse,
New York, 13210-2306
Phone:315-464-7231
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: 1700061470
NPI Enumeration Date: 31 Dec, 2007
NPI Last Update On: 25 Nov, 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 Stacy Shourt are as mentioned below.
License NumberSpecializationStateStatus
382505Pediatrics New YorkPrimary
16823Pediatrics CaliforniaSecondary
990023Pediatrics ColoradoSecondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Stacy Shourt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
04523066MedicaidNew York
79032273MedicaidColorado
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Stacy Shourt
750 East Adams St,
Syracuse, New York
Zip: 13210-2306
Phone Number: 315-464-5294
Fax Number: 315-464-5294
Patients can reach Stacy Shourt at 750 E Adams St, Syracuse, New York or can call to book an appointment on 315-464-7231.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.