MRS. VENESTER AZMAVET PERRY


Address: 15 Jason Ct, Mcdonough, GA 30252-8526
Phone: 7702882379

MRS. VENESTER AZMAVET PERRY (NPI# 1306098926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306098926
Entity Type Individual
Full Name MRS. VENESTER AZMAVET PERRY
Credential NP
Practice Address 15 Jason Ct
Mcdonough
GA 30252-8526
Practice Telephone 7702882379
Mailing Telephone 7702882379
Enumeration Date 2008-10-14
Last Update Date 2008-10-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
RN166520 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 15 JASON CT
City MCDONOUGH
State GA
Zip Code 30252-8526

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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1366818833 Tara Michelle Santee Nurse Practitioner 101 Regency Park Dr Ste 140, Mcdonough, GA 30253-7076 2015-08-19
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1083080550 Emily Il Arthur Nurse Practitioner 101 Regency Park Dr Ste 140, Mcdonough, GA 30253-7076 2015-08-19
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1770868150 Natalie Nason Fletcher Nurse Practitioner 543 Jonesboro Rd, Mcdonough, GA 30253-3718 2011-10-17
1154619278 Kimberly Purcell Nurse Practitioner 101 Regency Park Dr, Suite 140, Mcdonough, GA 30253-7080 2011-07-11
1164740510 Dara Nicole Goodwin Nurse Practitioner 543 Jonesboro Rd, Mcdonough, GA 30253-3718 2010-05-10

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Competitor

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City MCDONOUGH
Zip Code 30252

Improve Information

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Dataset Information

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.

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