JESSICA BROOKE WREN (NPI# 1124563713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124563713 |
| Entity Type | Individual |
| Full Name | JESSICA BROOKE WREN |
| Credential | NP |
| Practice Address |
89 Interchange Dr Richmond Hill GA 31324-7661 |
| Mailing Address |
Po Box 15849 Savannah GA 31416-2549 |
| Practice Telephone | 9125275301 |
| Practice Fax Number | 9127564740 |
| Mailing Telephone | 9123033560 |
| Mailing Fax Number | 9123033506 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN190747NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
89 INTERCHANGE DR |
| City | RICHMOND HILL |
| State | GA |
| Zip Code | 31324-7661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306844121 | Douglas Adam Perry | Internal Medicine | 89 Interchange Dr, Richmond Hill, GA 31324-7661 | 2005-07-14 |
| 1679937577 | Rebecca Marshburn Sellers | Family Medicine | 89 Interchange Dr, Richmond Hill, GA 31324-7661 | 2016-04-07 |
| 1922064336 | Regina Buckley Dandy | Family Medicine | 89 Interchange Dr, Richmond Hill, GA 31324-7661 | 2006-04-25 |
| 1437134483 | Nanci Brinn Ahearn | Nurse Practitioner | 89 Interchange Dr, Richmond Hill, GA 31324-7661 | 2005-12-13 |
| 1154313229 | Edward Morris Hoffman | Internal Medicine | 89 Interchange Dr, Richmond Hill, GA 31324-7661 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389588 | Bryan Anderson | Physician Assistant | 8435 Vanguard Road, Fort Stewart, GA 31324 | 2018-09-10 |
| 1366941684 | Codie Wiley | Physician Assistant | Expercare Urgent Care 60 Exchange Street, Suite B7, Richmond Hill, GA 31324 | 2018-02-02 |
| 1174038145 | Shelly Stewart Childers | Nurse Practitioner | 2453 U.S. 17, Suite G, Richmond Hill, GA 31324 | 2017-12-12 |
| 1619495215 | Kristi Oxley | Nurse Practitioner | 2701 Us Hwy 17 Ste 1b, Richmond Hill, GA 31324 | 2017-09-03 |
| 1275062564 | Janice Tillman Gravitt | Registered Nurse | 60 Long Creek Lane, Richmond Hill, GA 31324 | 2017-06-08 |
| 1336680065 | Choice Care Medical | Durable Medical Equipment & Medical Supplies | 9390 Ford Ave Ste 9, Richmond Hill, GA 31324 | 2017-03-14 |
| 1750730263 | Haralabos Saltourides | Physical Therapy Assistant | 127 Carter Street, Richmond Hill, GA 31324 | 2016-06-06 |
| 1922462464 | Leia Edenfield | Student in an Organized Health Care Education/Training Program | 105 Balfour Dr, Richmond Hill, GA 31324 | 2016-04-11 |
| 1477931384 | Stephanie Eileen Banasik | Nurse Practitioner | 10200 Ford Ave. Ste. 101, Richmond Hill, GA 31324 | 2015-05-12 |
| 1962800771 | Kendra Seagraves | Nurse Practitioner | 9976 Ford Avenue, Richmond Hill, GA 31324 | 2014-12-10 |
| Find all providers in zip 31324 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770190134 | Erica Davenport | Nurse Practitioner | 338 Young Way, Richmond Hill, GA 31324-5292 | 2020-09-29 |
| 1790314524 | Jenika Jade Errato | Nurse Practitioner | 100 Timber Trail Rd, Richmond Hill, GA 31324-9415 | 2020-04-03 |
| 1912556077 | Iftikhar Cheema | Nurse Practitioner | 11013 Jamaica Ave, Richmond Hill, NY 11418-2321 | 2019-09-10 |
| 1801371653 | Reena Rose Antony | Nurse Practitioner | 10913 Jamaica Ave, Richmond Hill, NY 11418-2335 | 2018-09-27 |
| 1619495215 | Kristi Oxley | Nurse Practitioner | 2701 Us Hwy 17 Ste 1b, Richmond Hill, GA 31324 | 2017-09-03 |
| 1568814663 | Tatiana Gonzalez | Nurse Practitioner | 8405 108th St Apt E5, Richmond Hill, NY 11418-1213 | 2016-07-13 |
| 1962800771 | Kendra Seagraves | Nurse Practitioner | 9976 Ford Avenue, Richmond Hill, GA 31324 | 2014-12-10 |
| 1184024697 | Alisha Salo Bennett | Nurse Practitioner | 10055 Ford Ave Ste 5a, Richmond Hill, GA 31324-3974 | 2014-09-03 |
| 1942620430 | Forrest Trevor Williams | Nurse Practitioner | 31 Egrets Way Lane, Richmond Hill, GA 31324 | 2014-04-23 |
| 1639485022 | Brenda Sporn | Nurse Practitioner | 125-06 101st Ave, Richmond Hill, NY 11419 | 2010-08-24 |
| Find all providers in RICHMOND HILL | ||||
| City | RICHMOND HILL |
| Zip Code | 31324 |
Please comment or provide details below to improve the information on JESSICA BROOKE WREN.
| 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.