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General NPI Number Information
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NPI Number | 1427415603
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Entity Type | Individual
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Provider Name | JENNA THAMES STOKES MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/19/2016
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 501 BAPTIST DR STE 140
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City | MADISON
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State | MS
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Zip | 39110-2031
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Country | US
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Telephone | 601-790-9821
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Fax |
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Provider Business Mailing Address
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Address Line | 609 HOLLY BUSH RD
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City | BRANDON
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State | MS
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Zip | 39047-8801
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Country | US
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Telephone | 601-754-3758
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 901871
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License Number State | MS
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