Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB STOUT
ActiveJACOB STOUT is a Physician Assistant healthcare provider located in SOUTH SALT LAKE, Utah. NPI 1952037939 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SOUTH SALT LAKE, UT
Registration Details
- NPI Number
- 1952037939
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2022 (4.0563812846279 yrs)
- Last Updated
- Nov 1, 2023
- License
-
13593511-1206 (UT)
Practice Information
- Address
-
2472 S 300 ESOUTH SALT LAKE, UT, 841152895Browse UT providers · Browse ZIP 84115
- Phone
- 8017835011
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SOUTH SALT LAKE, UT
| Name | Credential | NPI |
|---|---|---|
| ANNA I MAIR | C-PA | 1508900127 |
| MENERVA YOLE-LOBE | — | 1215285374 |
| JENNIFER MAKUAKANE | PA-C | 1225693229 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.