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

Stacy Shourt, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1700061470

Stacy Shourt, PNP is a Pediatric Nurse Practitioner in Syracuse, New York. Licensed in California, Colorado and New York. Registered with an NPI since 2007.

Licensed in
CA, CO, NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-2306
Phone: (315) 464-7231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 382505 (NY)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 16823 (CA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 990023 (CO)

Record details

NPI number1700061470
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedDecember 31, 2007
Last updated in NPPESNovember 25, 2024
Certification dateMarch 6, 2020

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