Healthcare Provider Details

I. General information

NPI: 1235042177
Provider Name (Legal Business Name): BRIANNA STOKES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIANNA DODGEN

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5151 N 9TH AVE
PENSACOLA FL
32504-8721
US

IV. Provider business mailing address

1972 PINEVIEW CHURCH RD
JAY FL
32565-9258
US

V. Phone/Fax

Practice location:
  • Phone: 850-416-7000
  • Fax:
Mailing address:
  • Phone: 850-549-5407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9633629
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: