Individual provider · Type 1 NPI

Jerry Lee Stork, P.A.

Physician Assistant · Hattiesburg, MS

NPI number 1467479550 Active

Practice location

3688 Veterans Memorial Dr, 200
Hattiesburg, MS 39401-8246

Fax (601) 554-7488

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA9103513 (FL)
Physician Assistant Primary 363A00000XPA00079 (MS)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1467479550

Jerry Lee Stork, P.A.'s National Provider Identifier is 1467479550, issued on Jul 16, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Oct 19, 2021.