JENNIFER ELIZABETH NEELY (NPI# 1174990501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174990501 |
| Entity Type | Individual |
| Full Name | JENNIFER ELIZABETH NEELY |
| Credential | FNP-C |
| Practice Address |
3222 Shrine Rd Ste A Brunswick GA 31520-4357 |
| Practice Telephone | 9122646303 |
| Practice Fax Number | 9122640042 |
| Mailing Telephone | 9122646303 |
| Mailing Fax Number | 9122640042 |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN189090 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265773089 | Jennifer Beth Neely | Nurse Practitioner | 2915 New Hartford Rd, Owensboro, KY 42303-1323 | 2013-03-04 |
| 1013211721 | Jennifer A Neely | Social Worker | 928 Broadway Ste 500, New York, NY 10010-8148 | 2011-01-10 |
| 1821136995 | Jennifer Lea Parker Neely | Speech-Language Pathologist | Vamc 1011 Honor Heights Drive, Mail Code 117w, Muskogee, OK 74401 | 2007-02-02 |
| 1942713516 | Jennifer Lynn Neely | Physician Assistant | 7600 W Camino Real, Boca Raton, FL 33433-5514 | 2017-11-06 |
| 1336524123 | Jennifer Neely | Behavioral Analyst | 2775 Cottage Way, Suite 8, Sacramento, CA 95825-1218 | 2015-07-22 |
| 1730453911 | Jennifer Alissa Neely | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2012-03-06 |
| Street Address |
3222 SHRINE RD STE A |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-4357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003901117 | Scott C Clay | Family Medicine | 3222 Shrine Rd Ste A, Brunswick, GA 31520-4357 | 2006-10-04 |
| 1235525064 | Bethanie Barth | Nurse Practitioner | 3222 Shrine Rd Ste A, Brunswick, GA 31520-4357 | 2015-04-08 |
| 1326309121 | Danielle Shelton | Family Medicine | 3222 Shrine Rd Ste A, Brunswick, GA 31520-4357 | 2012-06-07 |
| 1992888754 | Elizabeth Aguanta Bulatao | Nurse Practitioner | 3222 Shrine Rd Ste A, Brunswick, GA 31520-4357 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515790 | Jana H Christman | Nurse Practitioner | 81 Medical Center Dr Ste 2150, Brunswick, ME 04011-2764 | 2020-10-14 |
| 1265030563 | Christie Tolbert | Nurse Practitioner | 156 Banks Dr, Brunswick, GA 31523-6205 | 2020-10-09 |
| 1417577800 | Chahnaz El Jaouhari | Nurse Practitioner | 500 Westchester Dr, Brunswick, OH 44212-1868 | 2020-04-25 |
| 1982235370 | Kristy Chesser | Nurse Practitioner | 2500 Starling St Ste 602, Brunswick, GA 31520-4271 | 2020-02-04 |
| 1861031023 | Mark Ryan Wylie | Nurse Practitioner | 112 Palmera Ln, Brunswick, GA 31525-3032 | 2020-01-05 |
| 1548738107 | Ruth Sroka | Nurse Practitioner | 4000 Sherwood Dr, Brunswick, OH 44212-2652 | 2018-11-12 |
| 1669949251 | Jennifer Erika Stuver | Nurse Practitioner | 46 Skyview Dr, Brunswick, OH 44212-1204 | 2018-11-01 |
| 1124514120 | Holly Rae Logan | Nurse Practitioner | 121 Medical Center Dr Ste 2600, Brunswick, ME 04011-2668 | 2018-07-03 |
| 1780187120 | Pamela Mesowski Hinson | Nurse Practitioner | 105 Clipper Bay Rd, Brunswick, GA 31523-8936 | 2018-03-12 |
| 1174039481 | Rachel Raney Weaver-hall | Nurse Practitioner | 209 Prior Ave, Brunswick, GA 31525-2326 | 2017-12-21 |
| Find all providers in BRUNSWICK | ||||
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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.