AIMEE N JORGENSON STOUGH


Address: 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513
Phone: 3058530558

AIMEE N JORGENSON STOUGH (NPI# 1376143487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376143487
Entity Type Individual
Full Name AIMEE N JORGENSON STOUGH
Credential APRN CPNP-PC/AC
Practice Address 91550 Overseas Hwy Ste 209
Tavernier
FL 33070-2513
Mailing Address 162 Cocoa Dr
Tavernier
FL 33070-2046
Practice Telephone 3058530558
Mailing Telephone 5014545143
Enumeration Date 2020-10-28
Last Update Date 2020-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
11009518 FL Physician Assistants & Advanced Practice Nursing Providers
N 363LP0222X Nurse Practitioner
Specialization: Pediatrics, Critical Care
11009518 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 91550 OVERSEAS HWY STE 209
City TAVERNIER
State FL
Zip Code 33070-2513

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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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Competitor

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City TAVERNIER
Zip Code 33070

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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