MEDICARE: DR. ERICA SHANNON STOKES DNP, APRN-CNP, PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN464748	OH
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN.CNP.0033439	OH

General Provider Information

NPI Number	:	1215656764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERICA SHANNON STOKES DNP, APRN-CNP, PMHNP

Provider Business Mailing Address
First Line	:	700 WESSEL DR UNIT 18435
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45018-9519
Country	:	US
Telephone Number	:	513-291-8899
Fax Number	:

Provider Business Practice Location Address
First Line	:	8801 N MAIN ST STE 103
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45415-1380
Country	:	US
Telephone Number	:	513-291-8899
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2022
Last Update Date	:	12/13/2024

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