Individual
JENNIFER STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 WISSAHICKON AVE, PHILADELPHIA, PA 19144-4248
(215) 843-9720
Mailing address
4700 WISSAHICKON AVE, PHILADELPHIA, PA 19144-4248
(215) 843-9720
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0047728
DE
163W00000X
Registered Nurse
RN464196
PA
363L00000X
Nurse Practitioner
LG-0001038
DE
363LF0000X
Family Nurse Practitioner
Primary
SP017501
PA
Other
Enumeration date
04/17/2017
Last updated
08/18/2022
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