MRS. SIMONE KEINIA SHARP-BUCKNOR (NPI# 1104358803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104358803 |
| Entity Type | Individual |
| Full Name | MRS. SIMONE KEINIA SHARP-BUCKNOR |
| Credential | RN |
| Practice Address |
2400 Mount Zion Pkwy Jonesboro GA 30236-2500 |
| Practice Telephone | 4703034249 |
| Practice Fax Number | 7706033675 |
| Mailing Telephone | 4703034249 |
| Mailing Fax Number | 7706033675 |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
RN150311 | GA | Nursing Service Providers |
| N | 163WM0102X |
Registered Nurse Specialization: Maternal Newborn |
RN150311 | GA | Nursing Service Providers |
| Street Address |
2400 MOUNT ZION PKWY |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871568303 | David W Lazan | Urology | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2006-02-20 |
| 1033721113 | Hannah Yael Paull | Psychologist | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2020-08-19 |
| 1497316343 | Alexandra Blackburn | Nurse Practitioner | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2019-06-21 |
| 1811459944 | Lisa Fraser-powell | Social Worker | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2019-04-06 |
| 1093244220 | Megan Deanne Griffin | Physician Assistant | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2017-06-10 |
| 1740712454 | Lisa Pruitt | Registered Nurse | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2017-03-31 |
| 1063952752 | Kayla Randle | Pharmacist | 2400 Mount Zion Pkwy, Suite 116, Jonesboro, GA 30236-2500 | 2017-03-01 |
| 1952849531 | Anna Broadus | Nurse Practitioner | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2017-02-03 |
| 1649656653 | Hector George Clarke Jr. | Pharmacist | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2015-08-03 |
| 1396139036 | Courtney Howard | Psychiatry & Neurology | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2015-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487163341 | Kiana Patrice Ayers | Registered Nurse | 1740 Winding Woods Ln, Jonesboro, GA 30236-3300 | 2017-09-23 |
| 1982254835 | Skkppr Enterprises Inc | Registered Nurse | 1740 Winding Woods Ln, Jonesboro, GA 30236-3300 | 2019-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533387 | Gayle Anne Owen | Registered Nurse | 596 Bankstown Rd, Brooks, GA 30205-2219 | 2020-09-22 |
| 1326665704 | Jennifer L Shank | Registered Nurse | 6925 Tybridge St, Cumming, GA 30040-7201 | 2020-07-01 |
| 1619514627 | Leslie Margaret Turner | Registered Nurse | 1008 Parks Rd, Ellijay, GA 30540-2440 | 2019-12-09 |
| 1467094011 | Stacie Brooke Jones | Registered Nurse | 2705 Colonial Dr, College Park, GA 30337-4847 | 2019-10-15 |
| 1427609098 | Elizabeth Howard | Registered Nurse | 39 W Daryl Dr, Hinesville, GA 31313-1351 | 2019-09-25 |
| 1518510817 | Golda Winston | Registered Nurse | 1769 Delaware Ave Ne, Atlanta, GA 30307-2217 | 2019-07-17 |
| 1023675428 | Elizabeth Lee Mcwilliams | Registered Nurse | 3902 Northside Dr Ste A2, Macon, GA 31210-2459 | 2019-05-22 |
| 1730742545 | Sarah Marie Schooler | Registered Nurse | 1652 Caswell Pkwy, Marietta, GA 30060-9271 | 2019-04-17 |
| 1205308905 | Deitra Michelle Gilbert | Registered Nurse | 3238 Henderson Walk, Atlanta, GA 30340-4326 | 2018-12-19 |
| 1225511355 | Amy Fletcher | Registered Nurse | 5243 Amhurst Dr, Peachtree Corners, GA 30092-1621 | 2018-09-14 |
| 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.