Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Ann Souris, FNP-C

Individual provider Family Nurse Practitioner · NPI 1861971368

Stephanie Ann Souris, FNP-C is a Nurse Practitioner in Washington, Missouri. Qualified in 2018, 8 years ago. Practices with Mercy East Ambulatory Services LLC, a 103-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
8
Licensed in
MO
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

555 Washington Square Shopping Ctr
Washington, MO 63090-5343
Phone: (636) 390-1777
Fax: (636) 390-1778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 637 Dunn Rd, Hazelwood, MO 63042-1747 — (314) 817-2000
  • 425 S Euclid Ave Ste 2710, Saint Louis, MO 63110-1005 — (314) 273-4850

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2018027615 (MO)

Record details

NPI number1861971368
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 7, 2018
Last updated in NPPESMarch 21, 2022
Certification dateMarch 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mercy East Ambulatory Services Llc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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