JENNIFER L SHANK (NPI# 1326665704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326665704 |
| Entity Type | Individual |
| Full Name | JENNIFER L SHANK |
| Credential | RN, IBCLC |
| Practice Address |
6925 Tybridge St Cumming GA 30040-7201 |
| Practice Telephone | 7702656028 |
| Mailing Telephone | 7702656028 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
RN115604 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841577889 | Jennifer Krisitine Shank | Social Worker | 239 N Jebavy Dr, Ludington, MI 49431-2910 | 2011-11-04 |
| 1083831481 | Jennifer L Shank | Speech-Language Pathologist | 19398 Linden Rd, Argos, IN 46501-9765 | 2007-04-19 |
| 1982846614 | Jennifer Shank | Registered Nurse | 87 Washington St, Rensselaer, NY 12144-2613 | 2009-03-26 |
| Street Address |
6925 TYBRIDGE ST |
| City | CUMMING |
| State | GA |
| Zip Code | 30040-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144830241 | A Mother's Love Lactation Services | Registered Nurse | 6925 Tybridge St, Cumming, GA 30040-7201 | 2020-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| Find all providers in zip 30040 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144830241 | A Mother's Love Lactation Services | Registered Nurse | 6925 Tybridge St, Cumming, GA 30040-7201 | 2020-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533387 | Gayle Anne Owen | Registered Nurse | 596 Bankstown Rd, Brooks, GA 30205-2219 | 2020-09-22 |
| 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 |
| 1063902344 | Lyn Morgan Hrivnak | Registered Nurse | 116 Brookshire Ct, Kingsland, GA 31548-3807 | 2018-05-13 |
| 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.