Jerry Lee Stork, PA
Jerry Lee Stork, PA is a Medical Physician Assistant in Hattiesburg, Mississippi. Licensed in Florida and Mississippi. Registered with an NPI since 2006.
- Licensed in
- FL, MS
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
3688 Veterans Memorial Dr 200Hattiesburg, MS 39401-8246
Phone: (601) 554-7402
Fax: (601) 554-7488
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA00079 (MS) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PA9103513 (FL) |
Record details
| NPI number | 1467479550 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | July 16, 2006 |
| Last updated in NPPES | October 19, 2021 |
| Certification date | October 19, 2021 |
Other providers in Hattiesburg
-
Richard Alan Hall II
103 Medical Park Fl 2, Hattiesburg, MS 39401-9042 · (601) 268-5630
-
Lorin Jones, PA
5001 Hardy St, Hattiesburg, MS 39402-1308 · (601) 268-8549
-
Mr. Jimmie G Moore Jr., PA-C
3688 Veterans Memorial Dr Ste 200, Hattiesburg, MS 39401-8246 · (601) 554-7400
-
Vani Naraharisetty, PA-C
101 Asbury Cir, Hattiesburg, MS 39402-1150 · (601) 450-2034
-
Mr. Benjamin M Yelverton, PA-C
103 Medical Park Fl 2, Hattiesburg, MS 39401-9042 · (601) 268-5630