Stokes, Jennie Nichole

Stokes, Jennie Nichole is an individual health care provider with primary practice located at 1688 Lawrenceville Hwy , Lawrenceville GA 30044-4608. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Stokes, Jennie Nichole can be contacted via phone (770) 995-2379.

Contact Information

Primary practice address
1688 Lawrenceville Hwy Lawrenceville GA 30044-4608
Phone: (770) 995-2379
Fax: (770) 995-2385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OT003787 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT003787 Georgia

Profile Details

NPI number 1265509376
LBN Legal business name Stokes, Jennie Nichole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Sep 25th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265509376 NPPES
Georgia MEDICAID 10053517
Georgia MEDICAID 339551

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