MRS. JASMINE DIANE MCCORKLE SHYTLE (NPI# 1023589454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023589454 |
| Entity Type | Individual |
| Full Name | MRS. JASMINE DIANE MCCORKLE SHYTLE |
| Credential | WHNP |
| Practice Address |
475 Tribble Gap Rd Cumming GA 30040-2478 |
| Mailing Address |
Po Box 307 Cumming GA 30028-0307 |
| Practice Telephone | 7702971085 |
| Mailing Telephone | 7708871668 |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN241143 | GA | Nursing Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN241143 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
475 TRIBBLE GAP RD |
| City | CUMMING |
| State | GA |
| Zip Code | 30040-2478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134197502 | Nandor A. Kalli | Pediatrics | 475 Tribble Gap Rd, Cumming, GA 30040-2478 | 2006-03-10 |
| 1972037109 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 475 Tribble Gap Rd, Cumming, GA 30040-2478 | 2017-04-14 |
| 1407306418 | Georgia Highlands Medical Services, Inc | Clinic/Center | 475 Tribble Gap Rd, Cumming, GA 30040-2478 | 2016-10-13 |
| 1528231321 | Pragya P Verma | Pediatrics | 475 Tribble Gap Rd, Cumming, GA 30040-2478 | 2008-04-11 |
| 1245270032 | Jennifer Ann Fox | Nurse Practitioner | 475 Tribble Gap Rd, Cumming, GA 30040-2478 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| Find all providers in zip 30040 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144782749 | Keely Darnell | Nurse Practitioner | 133 Samaritan Dr Ste 306, Cumming, GA 30040-2396 | 2019-04-02 |
| 1659479376 | Deborah Elizabeth Carpenter | Nurse Practitioner | 1628 Market Place Blvd, Cumming, GA 30041-7927 | 2006-09-20 |
| 1891761789 | Janice H. Fleming | Nurse Practitioner | 2825 Keith Bridge Rd Ste 200, Cumming, GA 30041-4304 | 2006-02-28 |
| 1881166098 | Susan Cox | Nurse Practitioner | 634 Peachtree Pkwy, Ste 200, Cumming, GA 30041 | 2018-12-28 |
| 1245329937 | Carole Hamilton Payne | Nurse Practitioner | 260 Elm St, Cumming, GA 30040-2467 | 2006-10-12 |
| 1245270032 | Jennifer Ann Fox | Nurse Practitioner | 475 Tribble Gap Rd, Cumming, GA 30040-2478 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368328 | Jennifer Cobb | Nurse Practitioner | 130 Champlain St, Decatur, GA 30030-1803 | 2020-08-29 |
| 1336766476 | Nadine L Donahue | Nurse Practitioner | 1703 Oglethorpe Dr Ne, Brookhaven, GA 30319-2791 | 2020-07-05 |
| 1003465337 | Kaitlin Wilson | Nurse Practitioner | 5195 Jimmy Carter Blvd, Norcross, GA 30093-1649 | 2019-09-09 |
| 1912555939 | Erika Parks | Nurse Practitioner | 81 Upper Riverdale Rd Sw Ste 210, Riverdale, GA 30274-2627 | 2019-09-03 |
| 1427600469 | Kytrena L Harris | Nurse Practitioner | 232 Seaton Ave, Grovetown, GA 30813-4259 | 2019-07-10 |
| 1720640162 | Sonya Coutee Wallace | Nurse Practitioner | 3200 Highlands Pkwy Se Ste 420, Smyrna, GA 30082-5192 | 2019-07-06 |
| 1134783152 | Julia Coleman Quinn | Nurse Practitioner | 220 Cobb Pkwy N Ste 500, Marietta, GA 30062-3580 | 2019-04-24 |
| 1578020103 | Stacey Leigh Newpher | Nurse Practitioner | 960 Johnson Fy Rd Ne Ste 130, Atlanta, GA 30342-1601 | 2019-03-01 |
| 1144702226 | Veneah Shante Hall | Nurse Practitioner | 440 Moreland Ave Se, Atlanta, GA 30316-1926 | 2018-09-05 |
| 1598242133 | Jeffrey Scott Fouche-camargo | Nurse Practitioner | 1272 Carson View Ct, Dacula, GA 30019-3057 | 2018-07-26 |
| Find all providers with the same taxonomy | ||||
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| 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.