Vanessa Miller Stovall, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0100646 Issued in NC

Practice address

701 Stevens Mill Rd
Goldsboro, NC 27530

Phone

(919) 731-2023

Fax

(919) 731-2048

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801923016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 LAKESHORE DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275348970",
            "telephone_number": "919-751-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 STEVENS MILL RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "27530",
            "telephone_number": "919-731-2023",
            "fax_number": "919-731-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "VANESSA",
        "middle_name": "MILLER",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0100646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leon E Stockton, M.D.
• Suzanne B Stokes, MSN, CNS
• Jonelle R Stovall, DDS
• Marcus Daniel Stovall, PHARMD
• Orlando Richard Stovall, D.D.S.
• Hana Streibich, O.D.
• Andie Lorin Strickland-Robinson
• Ashley Wilson Strickland, RD, LDN, CNSC
• Amanda Charity Stroud, CSFA
• Bryan Dwayne Stup, MD

• All providers in Goldsboro, NC
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.