JESSICA BREEDLOVE


Address: 1505 Northside Blvd Ste 4600, Cumming, GA 30041-7658
Phone: 4042055292

JESSICA BREEDLOVE (NPI# 1366925638) 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) 1366925638
Entity Type Individual
Full Name JESSICA BREEDLOVE
Credential NP
Practice Address 1505 Northside Blvd Ste 4600
Cumming
GA 30041-7658
Mailing Address 1100 Johnson Ferry Rd Ste 510
Sandy Springs
GA 30342-1743
Practice Telephone 4042055292
Mailing Telephone 4044191165
Mailing Fax Number 4044191164
Enumeration Date 2018-09-12
Last Update Date 2018-09-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
210521 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers JESSICA BREEDLOVE

NPI Name Taxonomy Address Enumeration
1124410097 Jessica Breedlove Dentist 2400 State Farm Rd, Tucker, AR 72168-9503 2015-03-02

Office Location

Street Address 1505 NORTHSIDE BLVD STE 4600
City CUMMING
State GA
Zip Code 30041-7658

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205875218 Ronald Steis Internal Medicine 1505 Northside Blvd Ste 4600, Cumming, GA 30041-7658 2006-06-05
1891233235 Meredith Lee Kirk Nurse Practitioner 1505 Northside Blvd Ste 4600, Cumming, GA 30041-7658 2017-02-06
1073061891 Sima Adlakha Pharmacist 1505 Northside Blvd Ste 4600, Cumming, GA 30041-7658 2016-09-21
1639598105 Caroline Pilgrim Physician Assistant 1505 Northside Blvd Ste 4600, Cumming, GA 30041 2014-04-14
1609010800 Sanjay Vinjamaram Internal Medicine 1505 Northside Blvd Ste 4600, Cumming, GA 30041-7658 2009-05-01
1588774210 Barbara A. Burk Physician Assistant 1505 Northside Blvd Ste 4600, Cumming, GA 30041-7658 2006-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962036905 Annie Kyungjin Han Nurse Practitioner 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 2020-02-28
1295388197 Pamela Edler Pharmacist 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 2019-07-19
1720557127 Dr. Tiffany Lamonde LLC Physical Therapist 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 2018-11-15
1487140893 Bhbd LLC Chiropractor 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 2018-07-09
1891219861 Anna Gawrys Pharmacist 1525 Marketplace Blvd, Cumming, GA 30041 2017-08-01
1679029219 Square One Dental LLC Clinic/Center 3510 Rowe Lane, Cumming, GA 30041 2016-09-01
1720441454 Pavilion Psychological Services LLC Psychologist 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 2016-03-31
1346606506 American Health Imaging of Ga, LLC Clinic/Center 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 2016-01-04
1013311307 Stephen Hartle Physician Assistant 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 2014-10-15
1063828408 Stephanie Evans Wellborn Physician Assistant 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 2014-07-07
Find all providers in zip 30041

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790392900 Nicole Acheampong Nurse Practitioner 4810 Sugar Maple Ln, Cumming, GA 30040-6851 2020-09-30
1518574151 Madhavi Patel Nurse Practitioner 8245 Majors Ridge Way, Cumming, GA 30041-9358 2020-09-28
1629692637 Heeyoung Kim Nurse Practitioner 4375 Granby Cir, Cumming, GA 30041-5804 2020-06-05
1417509829 Poonambhen Patel Nurse Practitioner 767 Peachtree Pkwy Ste 4, Cumming, GA 30041-9348 2019-07-15
1407415615 Jacqueline Small Nurse Practitioner 407 W Maple St # 101, Cumming, GA 30040 2019-06-11
1336608629 Catherine M. Mugambi X Nurse Practitioner 1400 Northside Forsyth Dr Ste 210, Cumming, GA 30041-7668 2019-03-15
1629532650 Vinita Dass Nurse Practitioner 4210 Sandalwood Way, Cumming, GA 30041-5876 2019-01-23
1992286413 Gretchen Mcspadden Hayward Nurse Practitioner 5765 Catalpa Ct, Cumming, GA 30040-3848 2018-08-23
1043700909 Mollie Renee Brusca Nurse Practitioner 550 Bethelview Rd, Cumming, GA 30040 2018-05-16
1497257893 Chastity Shanahan Nurse Practitioner 104 Colony Park Dr Ste 800, Cumming, GA 30040 2018-03-02
Find all providers in CUMMING

Competitor

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City CUMMING
Zip Code 30041

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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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