LAURA J BANNER (NPI# 1013292382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013292382 |
| Entity Type | Individual |
| Full Name | LAURA J BANNER |
| Credential | NP |
| Practice Address |
1315 Jesse Jewell Pkwy Ne Ste 300 Gainesville GA 30501-3822 |
| Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
| Practice Telephone | 7702196520 |
| Mailing Telephone | 7702198420 |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN198626 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN198626 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1315 JESSE JEWELL PKWY NE STE 300 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295729945 | Ann Marie Byers | Nurse Practitioner | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2005-09-08 |
| 1477104834 | Rachel Lynn Metz | Physician Assistant | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2019-09-26 |
| 1194176446 | Nhi-kieu Nguyen | Family Medicine | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 | 2016-06-28 |
| 1699132605 | Stacy Marie Eaton | Nurse Practitioner | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2016-01-21 |
| 1396088027 | Ava Ferdinand | Psychiatry & Neurology | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2013-04-01 |
| 1639422983 | Natalya Kovalenko | Physician Assistant | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2012-10-24 |
| 1942567060 | James Nathaniel Starr | Psychiatry & Neurology | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2012-04-13 |
| 1023176369 | James Patrick Mullin | Clinical Neuropsychologist | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 | 2006-12-05 |
| 1639253818 | Devin Paige Vicknair | Counselor | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 | 2006-10-25 |
| 1073609756 | John E Delzell Jr. | Family Medicine | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908446 | Jade Asante-selby | Nurse Practitioner | 3030 Mcever Rd Ste 130, Gainesville, GA 30504-5538 | 2020-09-28 |
| 1295349405 | Mildred K Myrtil | Nurse Practitioner | 3754 Nw 54th Ln, Gainesville, FL 32653-0859 | 2020-09-04 |
| 1821608712 | Talia Rose Maschino | Nurse Practitioner | 1430 Se 51st St, Gainesville, FL 32641-1962 | 2020-08-05 |
| 1760006282 | Chariza Parsons Lopez | Nurse Practitioner | 8340 Nw 51st St, Gainesville, FL 32653-6182 | 2020-06-01 |
| 1255961017 | Whitney Necole Mcneely | Nurse Practitioner | 3009 Sw Williston Rd, Gainesville, FL 32608-3928 | 2020-01-21 |
| 1255961249 | Jared David Mincey | Nurse Practitioner | 10405 Sw 122nd St, Gainesville, FL 32608-5843 | 2020-01-19 |
| 1346870565 | Emily Grace Holbrook | Nurse Practitioner | 650 Crestview Ter, Gainesville, GA 30501-3110 | 2020-01-16 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1124676218 | Fasika T Enyew | Nurse Practitioner | 1870 Atlanta Hwy, Gainesville, GA 30504-5948 | 2019-08-31 |
| 1821641416 | Julie Tiegs | Nurse Practitioner | 5431 Little River Cir, Gainesville, GA 30506-3191 | 2019-07-22 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on LAURA J BANNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.