Physician Assistant
JERRY STORK P.A.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1467479550 · enumerated 2006-07-16 · record updated 2021-10-19. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 3688 VETERANS MEMORIAL DR, 200, HATTIESBURG, MS, 39401-8246 (601) 554-7402 Fax (601) 554-7488 Google Maps Apple Maps OpenStreetMap
- Mailing address 3688 VETERANS MEMORIAL DR, 200, HATTIESBURG, MS, 39401-8246 (601) 554-7402 Fax (601) 554-7488 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · License PA9103513 FL
- Physician Assistant 363A00000X · Primary · License PA00079 MS
In this directory
Locations and evidence
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Practice location
HATTIESBURG, MS, 394018246
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.