MRS. JENNIFER CARRUTH (NPI# 1033408331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033408331 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER CARRUTH |
| Credential | MSN, NP-C |
| Practice Address |
2782 N Cobb Pkwy Kennesaw GA 30152-3472 |
| Mailing Address |
472 Bottesford Dr Nw Kennesaw GA 30144-7129 |
| Practice Telephone | 7704201092 |
| Mailing Telephone | 2692746294 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2013-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN178859 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699256412 | Jennifer Lynn Carruth | Behavioral Analyst | 496 Old Route 66, Saint Robert, MO 65584-3728 | 2018-08-29 |
| Street Address |
2782 N COBB PKWY |
| City | KENNESAW |
| State | GA |
| Zip Code | 30152-3472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346344272 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 | 2006-09-12 |
| 1992314918 | Monay Christine Sanders | Nurse Practitioner | 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 | 2020-07-27 |
| 1588127666 | Erin Patel | Nurse Practitioner | 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 | 2019-04-07 |
| 1255781126 | Judy Schulz | Nurse Practitioner | 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 | 2016-06-21 |
| 1295191633 | David Higdon Jr. | Pharmacist | 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 | 2016-01-14 |
| 1831566223 | Anthony Williams | Pharmacist | 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 | 2015-09-01 |
| 1013383330 | Chad Richard | Pharmacist | 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 | 2015-08-20 |
| 1083080469 | Tyler Zack | Pharmacist | 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 | 2015-08-19 |
| 1376930404 | Mary Rose Locke | Nurse Practitioner | 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 | 2015-04-15 |
| 1467857516 | Angel Woody | Nurse Practitioner | 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 | 2014-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821647124 | Ashley Dover | Nurse Practitioner | 1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152 | 2019-09-09 |
| 1205306891 | Lashanda Denise Moore | Nurse Practitioner | 1600 Kennesaw Due West Rd Nw #205, Kennesaw, GA 30152 | 2018-11-27 |
| 1265901094 | Focused Loving Home Care Services LLC | In Home Supportive Care | 2151 Marne Glen Nw, Kennesaw, GA 30152 | 2018-11-22 |
| 1083199152 | Raven Ashley Thomas | Behavioral Analyst | 1619 Collins Rd Nw Ste 500, Kennesaw, GA 30152 | 2018-09-25 |
| 1821592593 | Eseovhe Egborge PC | Clinic/Center | 1600 Kennesaw Due West Rd Nw Ste 205, Kennesaw, GA 30152 | 2018-03-19 |
| 1184143059 | Kennesaw Mountain Dental Associates | Dentist | 1815 Old 41 Hwy, Ste 310, Kennesaw, GA 30152 | 2017-09-12 |
| 1265955983 | Deborah Ruth Stern Compton | Registered Nurse | 1291 Stanley Rd., Kennesaw, GA 30152 | 2017-07-25 |
| 1912452939 | Mak Anesthesia Holdings LLC | Anesthesiology | 1300 Ridenour Blvd., Ste. 300, Kennesaw, GA 30152 | 2016-08-19 |
| 1528430279 | Tineka Nichol Wyckoff | Counselor | 1967 Lake Heights Circle, Kennesaw, GA 30152 | 2015-10-21 |
| 1669753992 | American Current Care Pa | Clinic/Center | 2953 Cobb Parkway, Suite 400, Kennesaw, GA 30152 | 2011-08-31 |
| Find all providers in zip 30152 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344257 | Janis Rivas Franklin | Nurse Practitioner | 2030 Cockrell Pointe Nw, Kennesaw, GA 30152-4761 | 2020-07-27 |
| 1902423254 | Rebecca Lynn Ramsey | Nurse Practitioner | 3343 Hampreston Way Nw, Kennesaw, GA 30144-7441 | 2020-07-02 |
| 1609493352 | Joy Cheuvront | Nurse Practitioner | 4110 Pinemist Ln Nw, Kennesaw, GA 30144-6190 | 2020-06-29 |
| 1821647124 | Ashley Dover | Nurse Practitioner | 1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152 | 2019-09-09 |
| 1952957748 | Victoria C Onunekwu | Nurse Practitioner | 2718 Kaley Ln Nw, Kennesaw, GA 30152-2691 | 2019-08-16 |
| 1417514639 | Shyann Monique Smith | Nurse Practitioner | 300 Chastain Center Blvd Nw, Kennesaw, GA 30144-5580 | 2019-05-22 |
| 1720555741 | Charlotte Chintu | Nurse Practitioner | 221 Tennis Court Ln Nw, Kennesaw, GA 30144-5028 | 2018-10-29 |
| 1720580376 | Amanda L Shafer | Nurse Practitioner | 3250 Quick Water Lndg Nw, Kennesaw, GA 30144-4225 | 2018-02-28 |
| 1427586031 | Odiri Akiri | Nurse Practitioner | 1864 Eveningside Way Nw, Kennesaw, GA 30152-4795 | 2017-05-25 |
| 1104358704 | Ruth Ola Osueke | Nurse Practitioner | 2106 Lindley Ln Nw, Kennesaw, GA 30144-5232 | 2017-04-01 |
| Find all providers in KENNESAW | ||||
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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.