MS. MARY KATHLEEN HESIDENCE (NPI# 1336706316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336706316 |
| Entity Type | Individual |
| Full Name | MS. MARY KATHLEEN HESIDENCE |
| Other Name | MARY KAY MATTHEWS |
| Credential | FNP-C |
| Practice Address |
81 Northside Dr #100 Dawsonville GA 30040 |
| Mailing Address |
5830 Asby Way Cumming GA 30040-0640 |
| Practice Telephone | 4124789710 |
| Mailing Telephone | 4124789710 |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN249265 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
81 NORTHSIDE DR #100 |
| City | DAWSONVILLE |
| State | GA |
| Zip Code | 30040 |
| 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 |
| 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 |
| 1316437148 | Georgia Family Chiropractic, LLC | Chiropractor | 114 Pirkle Ferry Road, Cumming, GA 30040 | 2018-05-17 |
| Find all providers in zip 30040 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487853990 | Melanie Stovall Fortenberry | Nurse Practitioner | 1078 Lumpkin Campground Rd S Ste 100, Dawsonville, GA 30534-0988 | 2007-07-13 |
| 1043221070 | Traci Slaughter | Nurse Practitioner | 378 Perimeter Rd, Dawsonville, GA 30534 | 2006-08-11 |
| 1295351294 | Rhonda Lee Dennis | Nurse Practitioner | 6002 Highway 53 E Ste 100, Dawsonville, GA 30534-6227 | 2020-06-25 |
| 1275193930 | Amberly Hedden | Nurse Practitioner | 2395 Thompson Rd, Dawsonville, GA 30534-5376 | 2019-06-15 |
| 1477038107 | Paige Reece Hood | Nurse Practitioner | 108 Prominence Ct Ste 200, Dawsonville, GA 30534 | 2018-09-28 |
| 1114462488 | Ellison Croft | Nurse Practitioner | 6002 Highway 53 E, Dawsonville, GA 30534-6227 | 2016-12-22 |
| 1114476025 | Tlc of Georgia LLC | Nurse Practitioner | 378 Marketplace Pkwy, Dawsonville, GA 30534-7266 | 2016-10-04 |
| 1861948135 | Joanne T Eash | Nurse Practitioner | 378 Marketplace Pkwy, Dawsonville, GA 30534-7266 | 2016-08-28 |
| 1821358268 | Heather Sue Harris | Nurse Practitioner | 3651 Dawson Forest Rd E, Suite 100, Dawsonville, GA 30534-0404 | 2012-05-18 |
| 1164758322 | Kimberly Sue Burns | Nurse Practitioner | 5983 Highway 53 E, Dawsonville, GA 30534-9513 | 2009-10-22 |
| Find all providers in DAWSONVILLE | ||||
| City | DAWSONVILLE |
| Zip Code | 30040 |
Please comment or provide details below to improve the information on MS. MARY KATHLEEN HESIDENCE.
| 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.