Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly A Stout, FNP

Individual provider Family Nurse Practitioner · NPI 1356740120

Kimberly A Stout, FNP is a Nurse Practitioner in Statesville, North Carolina. Qualified in 2009, 17 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
17
Licensed in
NC
In the registry since
2014
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

208 Old Mocksville Rd
Statesville, NC 28625-1953
Phone: (704) 838-8249
Fax: (704) 924-5364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5007155 (NC)

Record details

NPI number1356740120
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 18, 2014
Last updated in NPPESDecember 4, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Statesville