Jessica Lynn Stockham, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN236119 Issued in GA

Practice address

101 Doctors Dr
Carrollton, GA 30117-4486

Phone

(706) 766-1677

NPI assigned

Jun 6, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1558853325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BUCKEYE LN",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301805328",
            "telephone_number": "706-766-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DOCTORS DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174486",
            "telephone_number": "706-766-1677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6842 Douglas Blvd Ste K",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "30135",
            "country_code": "US",
            "telephone_number": "404-937-3508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCKHAM",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN236119",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN236119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Dulce Stewart, NP
• Tammy Ann Stewart, PA-C
• Marcy A Stidum, LCSW
• John M Stimac, MD
• Madison Lester Stinson, DNP
• Jacie Stone
• Sydney Hope Stone
• Marjorie Ford Stowe, PHARMD
• Julie R. Strickland, PHARM.D.
• Kelli Darby Strickland, CNP

• Family Nurse Practitioner in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.