Provider Demographics
NPI:1295488633
Name:STOKELY, SARAH NICOLE (CNM)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:NICOLE
Last Name:STOKELY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 S ELM ST SW
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-4005
Mailing Address - Country:US
Mailing Address - Phone:706-755-6104
Mailing Address - Fax:
Practice Address - Street 1:101 ELLIOTT DR NW STE E
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-1154
Practice Address - Country:US
Practice Address - Phone:706-528-4915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN276129367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife