Provider Demographics
NPI:1659413524
Name:BROWN-STOUT, JANNA KAY (RN)
Entity Type:Individual
Prefix:MRS
First Name:JANNA
Middle Name:KAY
Last Name:BROWN-STOUT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:JANNA
Other - Middle Name:KAY
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4520 W JOSHUA LN
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-3922
Mailing Address - Country:US
Mailing Address - Phone:520-256-0535
Mailing Address - Fax:
Practice Address - Street 1:4520 W JOSHUA LN
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-3922
Practice Address - Country:US
Practice Address - Phone:520-256-0535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor