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

Samantha Stout

Individual provider Nurse Practitioner · NPI 1619800042

Samantha Stout is a Nurse Practitioner in Port Charlotte, Florida. Licensed in Florida. Registered with an NPI since 2026.

Licensed in
FL
In the registry since
2026
Specialties on file
2

Practice location Address checks out

21297 Olean Blvd
Port Charlotte, FL 33952-6704
Phone: (941) 766-9570
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN9429184 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN11049568 (FL)

Record details

NPI number1619800042
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2026
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address18361 Driggers Ave, Port Charlotte, FL 33948-8910

Other providers in Port Charlotte