JIMMEQUIA LANICE ALLEN (NPI# 1043826241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043826241 |
| Entity Type | Individual |
| Full Name | JIMMEQUIA LANICE ALLEN |
| Credential | MSN, APRN, FNP-C |
| Practice Address |
117 James St Woodbine GA 31569-3568 |
| Mailing Address |
Po Box 992 Woodbine GA 31569-0992 |
| Practice Telephone | 9125761967 |
| Mailing Telephone | 9126749370 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH1000X |
Registered Nurse Specialization: Hospice |
RN271383 | GA | Nursing Service Providers |
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
RN271383 | GA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN271383 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
117 JAMES ST |
| City | WOODBINE |
| State | GA |
| Zip Code | 31569-3568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326281783 | Phyllis Dunham | Counselor | 349 Colesburg-tompkin Rd., Woodbine, GA 31569 | 2009-04-15 |
| 1063545762 | Gateway Behavioral Health Services | Psychologist | 210 East 15th Street, Woodbine, GA 31569 | 2007-03-13 |
| 1417099755 | Coastal Speech Therapy | Speech-Language Pathologist | 24 Serenity Farms Rd, Coastal Speech Therapy, Woodbine, GA 31569 | 2007-02-13 |
| 1790755585 | Kim Timmerman Baird | Nurse Practitioner | 308 Bedell Ave, Woodbine, GA 31569-0307 | 2006-01-24 |
| 1750508602 | Kim T. Baird, Fnp-cs | Nurse Practitioner | 308 Bedell Ave, Woodbine, GA 31569-0308 | 2007-04-20 |
| 1538386370 | Mary Lee Carter, Md-pc | Internal Medicine | 308 Bedell Ave, Woodbine, GA 31569-0308 | 2007-04-20 |
| 1720180573 | Robert Thomas Baird | Dentist | 308 Bedell Ave, Woodbine, GA 31569-0488 | 2006-09-02 |
| 1851710685 | Amanda Mcnulty | Nurse Practitioner | 308 Bedell Ave, Woodbine, GA 31569-2091 | 2014-04-09 |
| 1326484411 | Debra M. Tait | Counselor | 801 Thrift Rd, Woodbine, GA 31569-2436 | 2013-05-15 |
| 1881841864 | Sabra L. Maddox | Pharmacist | 908 Georgia Ave # 1, Woodbine, GA 31569-3574 | 2008-08-21 |
| Find all providers in zip 31569 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790755585 | Kim Timmerman Baird | Nurse Practitioner | 308 Bedell Ave, Woodbine, GA 31569-0307 | 2006-01-24 |
| 1851710685 | Amanda Mcnulty | Nurse Practitioner | 308 Bedell Ave, Woodbine, GA 31569-2091 | 2014-04-09 |
| 1962794420 | Woodbine Family Medical | Nurse Practitioner | 713 Dehirsch Ave, Woodbine, NJ 08270-2339 | 2011-05-03 |
| 1750508602 | Kim T. Baird, Fnp-cs | Nurse Practitioner | 308 Bedell Ave, Woodbine, GA 31569-0308 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285486 | Aprn Mobile Clinic LLC | Nurse Practitioner | 1361 Highwoods Pass, Grovetown, GA 30813-3994 | 2020-11-08 |
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| 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.