MISS JANE PAULK (NPI# 1306920954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306920954 |
| Entity Type | Individual |
| Full Name | MISS JANE PAULK |
| Credential | FNP-BC |
| Practice Address |
116 Smith St Tennille GA 31089-1465 |
| Mailing Address |
Po Box 371 Wrightsville GA 31096-0371 |
| Practice Telephone | 4785527384 |
| Practice Fax Number | 4788641288 |
| Mailing Telephone | 4788643448 |
| Mailing Fax Number | 4788641288 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2017-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN052908 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GEORGIA LICENSE | RN052908 | 01 |
| Street Address |
116 SMITH ST |
| City | TENNILLE |
| State | GA |
| Zip Code | 31089-1465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104876390 | Community Health Care Systems, Inc. | Clinic/Center | 116 Smith St, Tennille, GA 31089-1465 | 2006-05-11 |
| 1659787034 | Sharon Massengale | Nurse Practitioner | 116 Smith St, Tennille, GA 31089-1465 | 2014-07-07 |
| 1023353497 | Alesha Michelle Edwards | Podiatrist | 116 Smith St, Tennille, GA 31089-1465 | 2012-12-11 |
| 1053467308 | Tanya Yvonne Jones | Family Medicine | 116 Smith St, Tennille, GA 31089-1465 | 2007-01-26 |
| 1306908546 | Bridgett C Bailey | Family Medicine | 116 Smith St, Tennille, GA 31089-1465 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427369966 | Tennille Retirement Home, LLC | Assisted Living Facility | 525 N Main St, Tennille, GA 31089-1128 | 2010-06-30 |
| 1437719176 | Yontia Kewanda Brookins | Case Manager/Care Coordinator | 105 E 3rd Ave, Tennille, GA 31089-1340 | 2019-06-15 |
| 1689186223 | Majestic Senior Living Tennille LLC | Assisted Living Facility | 401 Martin Luther King Jr Blvd, Tennille, GA 31089-1438 | 2017-11-03 |
| 1942452065 | Lisa G Lamar | Home Health Aide | 517 Martin Luther King Jr Blvd, Tennille, GA 31089-1440 | 2008-10-21 |
| 1134694094 | Debbie Pierce Price | Counselor | 12182 Ga Highway 68 S, Tennille, GA 31089-2971 | 2018-10-08 |
| 1871845040 | Jessica Marie Womble | Driver | 731 Grady Mertz Rd, Tennille, GA 31089-3215 | 2012-10-11 |
| 1487649158 | April Babb Crisp | Counselor | 140 Jerry Brantley Ln, Tennille, GA 31089-3421 | 2005-09-19 |
| 1427696384 | Candis Julie Spivey | Specialist/Technologist, Other | 923 Irwin Rd, Tennille, GA 31089-3861 | 2019-12-11 |
| 1407455462 | Extending A Hand Home Care | Durable Medical Equipment & Medical Supplies | 207 Mill Ln, Tennille, GA 31089-4308 | 2020-10-21 |
| 1457987018 | Wende Sumner | Behavior Technician | 732 Old Watermelon Rd, Tennille, GA 31089-5544 | 2020-03-16 |
| Find all providers in zip 31089 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841186 | Cynthia Marie Benjamin Bates | Nurse Practitioner | 2746 Willis Foreman Rd, Hephzibah, GA 30815-6935 | 2020-11-06 |
| 1841891199 | Gloria Oduro | Nurse Practitioner | 983 Bentley Estates Dr, Dacula, GA 30019-7795 | 2020-11-03 |
| 1689274094 | Shundria Brown | Nurse Practitioner | 2122 Ellwyn Dr, Chamblee, GA 30341-1520 | 2020-10-27 |
| 1629677455 | Amy Lynn Patterson | Nurse Practitioner | 254 Senna St, Marietta, GA 30064-4417 | 2020-10-22 |
| 1538768965 | Tabitha Ford | Nurse Practitioner | 110 Shorter St Lot 9, Ty Ty, GA 31795-3179 | 2020-10-16 |
| 1902404320 | Shanelle Lynette Raiford | Nurse Practitioner | 2028 Hidden Meadow Ln, Stone Mountain, GA 30088-4448 | 2020-10-16 |
| 1760089072 | Diana Maresi Bulimu | Nurse Practitioner | 6050 Peachtree Pkwy # 240-178, Norcross, GA 30092-3336 | 2020-10-08 |
| 1760089692 | Natalie Xiomara Leak | Nurse Practitioner | 4855 Chesterfield Ct, Suwanee, GA 30024-1350 | 2020-10-05 |
| 1548877723 | Camille Watson-clarke | Nurse Practitioner | 3650 Steve Reynolds Blvd Ste 316, Duluth, GA 30096-4506 | 2020-09-30 |
| 1801403654 | Jacqueline Richart | Nurse Practitioner | 6300 Hospital Pkwy Ste 260, Johns Creek, GA 30097-1829 | 2020-09-25 |
| 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.