Provider Demographics
NPI:1972791903
Name:STOKES, ANGELA COLLEEN (MSN, APRN-BC)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:COLLEEN
Last Name:STOKES
Suffix:
Gender:F
Credentials:MSN, APRN-BC
Other - Prefix:MRS
Other - First Name:ANGELA
Other - Middle Name:COLLEEN
Other - Last Name:WELLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APRN-BC
Mailing Address - Street 1:1805 INGLESIDE DRIVE,
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TN
Mailing Address - Zip Code:37303
Mailing Address - Country:US
Mailing Address - Phone:423-745-8802
Mailing Address - Fax:423-744-7064
Practice Address - Street 1:1805 INGLESIDE DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303
Practice Address - Country:US
Practice Address - Phone:423-745-8802
Practice Address - Fax:423-744-7064
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12952363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health