JESSICA FUENTES (NPI# 1508396755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508396755 |
| Entity Type | Individual |
| Full Name | JESSICA FUENTES |
| Practice Address |
745 Poplar Rd Newnan GA 30265-1618 |
| Mailing Address |
1505 16th Ave Columbus GA 31901-2083 |
| Practice Telephone | 7704001000 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F06170504 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437774940 | Jessica Xiomara Fuentes | Counselor | Carr. 833 Apto. D3, Villa Los Filtros Town House, Guaynabo, PR 00969-0000 | 2020-06-10 |
| 1487207445 | Jessica Sonia Fuentes | Counselor | 1701 Mission Ave Ste 310, Oceanside, CA 92058-7110 | 2019-07-18 |
| 1831667641 | Jessica Fuentes | Behavior Technician | 5620 Birdcage St Ste 230, Citrus Heights, CA 95610-7632 | 2018-11-09 |
| 1063960813 | Jessica D Fuentes | Physician Assistant | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2016-09-21 |
| 1689933095 | Jessica Ivonne Fuentes | Physician Assistant | 2590 Frisby Ave, Bronx, NY 10461-3240 | 2012-05-07 |
| 1437286234 | Jessica Fuentes | Physical Therapist | 801 Main St, Ste. 10, Louisville, CO 80027-1864 | 2007-02-27 |
| Street Address |
745 POPLAR RD |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386697944 | Karen Potts-hammond | Physician Assistant | 745 Poplar Rd, Newnan, GA 30265-1618 | 2006-05-17 |
| 1003414582 | Marcus Stephen Wilbanks | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-10-15 |
| 1386241362 | Kurt Louis Wahnschaff | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-10-03 |
| 1831703206 | Bhavika J Rana | Nurse Practitioner | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-09-03 |
| 1942812318 | Graham Thomas Kittrell | Student in an Organized Health Care Education/Training Program | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-08-18 |
| 1902421548 | Seema Patel | Pharmacist | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-06-09 |
| 1316567928 | David Sanchez | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-04-23 |
| 1104446210 | Cody Brennan Keeth | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-04-17 |
| 1790304012 | Jessica Brand | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-04-16 |
| 1174168280 | Erin Vise | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2019-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1679173116 | Michelle Verone Johnson - Monteith | Nurse Practitioner | 329 Granite Way, Newnan, GA 30265-6065 | 2020-10-26 |
| 1205445335 | Christy Lynne Duffey | Nurse Practitioner | 40 Brightling Ln, Newnan, GA 30265-5626 | 2020-07-24 |
| 1285268094 | Julie L Boyce | Nurse Practitioner | 35 Ashley Woods Dr, Newnan, GA 30263-5462 | 2020-03-02 |
| 1720622921 | Peggy Darlene Troyer | Nurse Practitioner | 1320 Moore Rd, Newnan, GA 30263-5221 | 2019-10-30 |
| 1427511260 | Johnny Glenn Mulliniks | Nurse Practitioner | 371 Newnan Crossing Byp Ste 103, Newnan, GA 30265-3888 | 2019-04-09 |
| 1346737582 | Crista Jonte' Ivory | Nurse Practitioner | 772 Greison Trl Ste H, Newnan, GA 30263-1498 | 2018-04-13 |
| 1679071260 | Dana M. Sellers | Nurse Practitioner | 54 Harris Ct, Newnan, GA 30263-4663 | 2018-01-29 |
| 1477095552 | Nicole P Irwin | Nurse Practitioner | 309 Briandwood Dr, Newnan, GA 30265-6279 | 2016-11-07 |
| 1821540048 | The Little Clinic of Georgia LLC | Nurse Practitioner | 1751 Newnan Crossings Boulavard East, Newnan, GA 30265 | 2016-11-04 |
| Find all providers in NEWNAN | ||||
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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.