Kevin Stump is one of 221 nurse practitioners practicing in Conroe, Texas .
Kevin Stump practices with Southern Magnolia Management LLC.
Registry record (NPPES)
NPI
1639331895
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Psychiatric/Mental Health · 363LP0808X
Address on file
22325 Gosling Rd
Enumerated
Jun 30, 2008
Record last updated
May 10, 2023
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
1904 Longmire Rd Suite 401Conroe , TX 77304
13145 Spring Cypress RdCypress , TX 77429
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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