Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY LEE STORK, P.A.
ActiveJERRY LEE STORK, P.A. is a Physician Assistant healthcare provider located in HATTIESBURG, Mississippi. NPI 1467479550 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HATTIESBURG, MS
Registration Details
- NPI Number
- 1467479550
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2006 (19.934273841706 yrs)
- Last Updated
- Oct 19, 2021
- Licenses
-
PA9103513 (FL)PA00079 (MS)
Practice Information
- Address
-
3688 VETERANS MEMORIAL DR200HATTIESBURG, MS, 394018246Browse MS providers · Browse ZIP 39401
- Phone
- 6015547402
- Fax
- 6015547488
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in HATTIESBURG, MS
| Name | Credential | NPI |
|---|---|---|
| MARY L FEAGANS | PA | 1871572578 |
| KATHERINE ANDERSON MEYERS | PA | 1750464343 |
| SHEENA THOMAS MCELHANEY | PA | 1538242144 |
| NICHOLE C HORN | PA | 1467682385 |
| MRS. LEAH MARIA WILLS | PA-C | 1639405749 |
| BLEN D BLACKWELL | PA-C | 1811217409 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.