MEDICARE: MRS. BRITTANY STOKES CRNP

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	363LG0600X	Gerontology Nurse Practitioner	1-128388	AL
2	363LA2200X	Adult Health Nurse Practitioner	1-128388	AL

General Provider Information

NPI Number	:	1851841340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRITTANY STOKES CRNP

Provider Business Mailing Address
First Line	:	BALLARD PAIN AND WELLNESS INC
Second Line	:	7067 VETERANS PARKWAY, SUITE 210
City	:	PELL CITY
State	:	AL
Zip	:	35125-5118
Country	:	US
Telephone Number	:	205-405-7348
Fax Number	:	53-380-5502

Provider Business Practice Location Address
First Line	:	7067 VETERANS PKWY STE 210
Second Line	:
City	:	PELL CITY
State	:	AL
Zip	:	35125-5128
Country	:	US
Telephone Number	:	205-405-7348
Fax Number	:	205-338-0550

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

Provider Enumeration Date	:	10/07/2016
Last Update Date	:	04/10/2020

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