Healthcare Provider Details

I. General information

NPI: 1033922315
Provider Name (Legal Business Name): PEYTON STOKES FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11111 PARK PLACE DR STE B
BATON ROUGE LA
70818-3218
US

IV. Provider business mailing address

14318 DEW POINT AVE
BATON ROUGE LA
70818-5400
US

V. Phone/Fax

Practice location:
  • Phone: 225-333-3636
  • Fax:
Mailing address:
  • Phone: 225-266-2681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number212498
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number212498
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: