Provider Demographics
NPI:1215656764
Name:STOKES, ERICA SHANNON (DNP, APRN-CNP, PMHNP)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:SHANNON
Last Name:STOKES
Suffix:
Gender:F
Credentials:DNP, APRN-CNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 WESSEL DR UNIT 18435
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45018-9519
Mailing Address - Country:US
Mailing Address - Phone:513-291-8899
Mailing Address - Fax:
Practice Address - Street 1:8801 N MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-1380
Practice Address - Country:US
Practice Address - Phone:513-291-8899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-26
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN464748163W00000X
OHAPRN.CNP.0033439363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty