Provider Demographics
NPI:1023779311
Name:STOKES, TAMMY JANE (CRNP)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:JANE
Last Name:STOKES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:JANE
Other - Last Name:TAMMY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:350 AIRPORT RD.
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36037
Mailing Address - Country:US
Mailing Address - Phone:334-382-3154
Mailing Address - Fax:334-382-3530
Practice Address - Street 1:350 AIRPORT RD.
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:AL
Practice Address - Zip Code:36037
Practice Address - Country:US
Practice Address - Phone:334-382-3154
Practice Address - Fax:334-382-3530
Is Sole Proprietor?:No
Enumeration Date:2022-01-07
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALF02210970363LF0000X
AL1-108051363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner