Search › Georgia › 363LF0000X
Jessica Stockham, FNP-C
NPI 1558853325 · on the registry since 2018
Practice
- Address
- 101 Doctors Dr
Carrollton, GA 30117 - Phone
- (706) 766-1677
- Organisation at this address
- Tanner Medical Center, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Additional practice sites
- 6842 Douglas Blvd Ste K, Douglasville, GA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia