Provider Demographics
NPI:1144643461
Name:STOKES, VIVIAN DENISE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:VIVIAN
Middle Name:DENISE
Last Name:STOKES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:VIVIAN
Other - Middle Name:DENISE
Other - Last Name:REEVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP C
Mailing Address - Street 1:P.O. BOX 916
Mailing Address - Street 2:115 EAST BROOKLYN STREET
Mailing Address - City:LINDEN
Mailing Address - State:TN
Mailing Address - Zip Code:37096
Mailing Address - Country:US
Mailing Address - Phone:931-589-2104
Mailing Address - Fax:931-589-2513
Practice Address - Street 1:115 EAST BROOKLYN STREET
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:TN
Practice Address - Zip Code:37096
Practice Address - Country:US
Practice Address - Phone:931-589-2104
Practice Address - Fax:931-589-2513
Is Sole Proprietor?:No
Enumeration Date:2014-01-22
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18290363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner