Provider Demographics
NPI:1427415603
Name:STOKES, JENNA THAMES (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:THAMES
Last Name:STOKES
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 HOLLY BUSH RD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39047-8801
Mailing Address - Country:US
Mailing Address - Phone:601-754-3758
Mailing Address - Fax:
Practice Address - Street 1:501 BAPTIST DR STE 140
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-2031
Practice Address - Country:US
Practice Address - Phone:601-790-9821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-19
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS901871363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily