MRS. JENNIFER ELAINE EUBANKS (NPI# 1356970503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356970503 |
Entity Type | Individual |
Full Name | MRS. JENNIFER ELAINE EUBANKS |
Credential | BSN |
Practice Address |
740 Fletcher St Cedartown GA 30125-3249 |
Practice Telephone | 7707495336 |
Practice Fax Number | 7707485022 |
Mailing Telephone | 7707495336 |
Mailing Fax Number | 7707485022 |
Enumeration Date | 2020-04-08 |
Last Update Date | 2020-04-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
RN117871 | GA | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720241201 | Jennifer T Eubanks | Internal Medicine | 1704 23rd Ave Fl 2, Meridian, MS 39301-3103 | 2008-07-06 |
Street Address |
740 FLETCHER ST |
City | CEDARTOWN |
State | GA |
Zip Code | 30125-3249 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699806240 | Murphy-harpst Children's Centers | Residential Treatment Facility, Emotionally Disturbed Children | 740 Fletcher St, Cedartown, GA 30125-3249 | 2007-03-07 |
1417568031 | Amanda Robinson | Behavior Technician | 740 Fletcher St, Cedartown, GA 30125-3249 | 2020-08-17 |
1871112169 | Katherine Casey Thomas | Registered Nurse | 740 Fletcher St, Cedartown, GA 30125-3249 | 2020-04-16 |
1972135945 | Faith Payne | Social Worker | 740 Fletcher St, Cedartown, GA 30125-3249 | 2020-02-07 |
1679104871 | Tony Simmons Jr. | Case Manager/Care Coordinator | 740 Fletcher St, Cedartown, GA 30125-3249 | 2020-01-28 |
1053956102 | Murphy-harpst Childrens Center | Residential Treatment Facility, Emotionally Disturbed Children | 740 Fletcher St, Cedartown, GA 30125-3249 | 2019-11-13 |
1265076533 | Murphy Harpst Childrens Center | Residential Treatment Facility, Emotionally Disturbed Children | 740 Fletcher St, Cedartown, GA 30125-3249 | 2019-10-30 |
1841833498 | Murphy Harpst Children's Center | Residential Treatment Facility, Emotionally Disturbed Children | 740 Fletcher St, Cedartown, GA 30125-3249 | 2019-10-25 |
1730741513 | Michael Paul Moniz | Community Health Worker | 740 Fletcher St, Cedartown, GA 30125-3249 | 2019-07-02 |
1316503311 | Tia Smith | Counselor | 740 Fletcher St, Cedartown, GA 30125-3249 | 2019-05-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922244607 | Ryan Ray Beck | Psychologist | 243 E. Girard Avenue, Cedartown, GA 30125 | 2008-12-30 |
1619156981 | Pamela Diane Hearn | Family Medicine | 2370 Rockmart Hwy Ste 100, Cedartown, GA 30125 | 2007-11-02 |
1962571786 | David Gandy | Dentist | 109 East Ave, Cedartown, GA 30125 | 2006-11-07 |
1255444519 | Cedartown Radiology Group | Radiology | 424 North Main St, Cedartown, GA 30125 | 2006-08-17 |
1255822771 | Hannah Bell Helton | Nurse Practitioner | 2360 Rockmart Hwy, Cedartown, GA 30125 | 2018-05-21 |
1417168808 | Terri Lynn Willis | Dentist | 113 Plantation Ave, Suite A, Cedartown, GA 30125 | 2007-05-25 |
1427193812 | Benjamin Stratman Anderson Jr. | Family Medicine | 812 S Main St, Cedartown, GA 30125-0508 | 2007-02-21 |
1972760197 | Jerry Octave Weaver | Community Health Worker | 215 Fair Oaks Rd, Cedartown, GA 30125-2011 | 2008-05-16 |
1346302387 | Mary Scott Worthington | Case Manager/Care Coordinator | 340 Lakeview Dr, Cedartown, GA 30125-2019 | 2006-12-15 |
1639606049 | Kayla Benton | Family Medicine | 1025 N Main St, Cedartown, GA 30125-2036 | 2017-05-16 |
Find all providers in zip 30125 |
Taxonomy Code | 163WA2000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Administrator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699381327 | Jamaria A Bryant | Registered Nurse | 2050 Roswell Rd Ste 312, Marietta, GA 30062-3811 | 2020-09-17 |
1063052470 | Kimberly Michel Davis | Registered Nurse | 4560 Atwater Ct Ste 105-2, Buford, GA 30518-3497 | 2020-01-14 |
1043879075 | Latavia Howard | Registered Nurse | 495 Lory Ln, Grovetown, GA 30813-6104 | 2019-06-12 |
1336678317 | Lisa Dove Blakely | Registered Nurse | 1659 Woodbridge Ln Ne, Atlanta, GA 30329-3536 | 2017-06-05 |
1194257931 | Cheryl Davis | Registered Nurse | 118 S Madison St, Suite 4, Thomasville, GA 31792-5495 | 2017-03-31 |
1366815383 | Mary Azuh | Registered Nurse | 1069 Lakefield Walk, Marietta, GA 30064-5758 | 2015-11-12 |
1720462575 | Kimily Singleton | Registered Nurse | 821 Pavilion Ct Ste G, Mcdonough, GA 30253-5223 | 2015-07-10 |
1891126561 | Constance English | Registered Nurse | 1332 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-5143 | 2013-12-06 |
1750633251 | Karen D Stack | Registered Nurse | 2793 Clairmont Rd Ne, Suite 213, Atlanta, GA 30329-2700 | 2012-10-08 |
1447523139 | Donna B Walden | Registered Nurse | 161 Finncannon Dr, Ellijay, GA 30536-4773 | 2012-02-11 |
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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.