JACQUELINE SMALL (NPI# 1407415615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407415615 |
| Entity Type | Individual |
| Full Name | JACQUELINE SMALL |
| Practice Address |
407 W Maple St # 101 Cumming GA 30040 |
| Mailing Address |
3910 Plantation Mill Dr Buford GA 30519-1970 |
| Practice Telephone | 7708886697 |
| Mailing Telephone | 7703148027 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN224391 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811829 | Jacqueline Small | Behavioral Analyst | 850 Chestnut Hill Rd, Chepachet, RI 02814-1831 | 2019-09-30 |
| 1215069299 | Jacqueline Small | Social Worker | 3020 Children's Way Mc5100, San Diego, CA 92123 | 2007-03-12 |
| 1700939410 | Jacqueline Marie Small | Physician Assistant | 6015 Nw 7th Ave, Miami, FL 33127-1109 | 2007-01-18 |
| 1003416272 | Jacqueline J Small | Pharmacist | 11650 S 73rd St, Papillion, NE 68046-1500 | 2020-10-28 |
| 1265046585 | Jacqueline Small | Nurse Practitioner | 899 Aigner Dr, Boonville, IN 47601-8473 | 2020-09-03 |
| 1114937612 | Jacqueline M Small | Physical Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2006-08-08 |
| Street Address |
407 W MAPLE ST # 101 |
| City | CUMMING |
| 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 |
| 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 |
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1043737182 | Nicole June Krummel | Nurse Practitioner | 5965 Parkway North Blvd Ste C, Cumming, GA 30040-1431 | 2017-08-29 |
| Find all providers in CUMMING | ||||
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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.