JESSICA LEIGH HANEY (NPI# 1366927766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366927766 |
| Entity Type | Individual |
| Full Name | JESSICA LEIGH HANEY |
| Practice Address |
7810 Highway 85 Riverdale GA 30274-3920 |
| Mailing Address |
5779 Macland Rd Powder Springs GA 30127-4128 |
| Practice Telephone | 7704737833 |
| Mailing Telephone | 7709002080 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN205930 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477854149 | Jessica Kathleen Haney | Counselor | 205 Se 3rd Ave Ste 100, Hillsboro, OR 97123-4087 | 2010-11-10 |
| 1700113644 | Jessica Leigh Haney | Social Worker | 915 Rosa Parks Bvd., Nashville, TN 37208 | 2009-11-13 |
| 1659804573 | Jessica Haney | Nurse Practitioner | 310 Hospital Dr Ste 210, Macon, GA 31217-8026 | 2017-04-07 |
| 1275922353 | Jessica Haney | Occupational Therapist | 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2015-01-13 |
| 1497751754 | Jessica Haney | Optometrist | 413 Germantown Pike, Ste 200, Lafayette Hill, PA 19444-1816 | 2005-06-22 |
| Street Address |
7810 HIGHWAY 85 |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952858821 | Clayton County Board of Commissioners | Nurse Practitioner | 7810 Highway 85, Riverdale, GA 30274-3920 | 2016-09-08 |
| 1639714215 | Troy Lee Freeman | Nurse Practitioner | 7810 Highway 85, Riverdale, GA 30274-3920 | 2019-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908816 | Katherine Dover-payne | Nurse Practitioner | 661 W 138th St, Riverdale, IL 60827-1660 | 2020-10-05 |
| 1508476847 | Deann Marie Mcclellan | Nurse Practitioner | 22625 130th Rd, Riverdale, NE 68870-7105 | 2020-08-02 |
| 1255949574 | Hawana Lewis | Nurse Practitioner | 1527 Wynthrope Cv, Riverdale, GA 30274-5148 | 2020-07-22 |
| 1619506532 | Tanyetta Michelle Brown | Nurse Practitioner | 2802 Topaz Rd, Riverdale, GA 30296-1699 | 2020-04-02 |
| 1821622770 | Risa Rowley | Nurse Practitioner | 4260 S 950 W, Riverdale, UT 84405-3454 | 2020-03-01 |
| 1356992796 | Lindsay Patricia Peluso | Nurse Practitioner | 253 Upper Riverdale Rd Sw Ste B, Riverdale, GA 30274-4945 | 2019-09-26 |
| 1205308285 | Saritha Sudharsun | Nurse Practitioner | 6516 Rosalie Ln, Riverdale, MD 20737-1785 | 2019-01-01 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1861991408 | Gexin Wang | Nurse Practitioner | 5506 Kenilworth Ave Ste A, Riverdale, MD 20737-3115 | 2018-02-09 |
| 1063947091 | Shibana Elder Cutter | Nurse Practitioner | 2798 Topaz Rd, Riverdale, GA 30296-6015 | 2017-04-27 |
| Find all providers in RIVERDALE | ||||
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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.