JEFFREY SCOTT WIESEMAN


Address: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501
Phone: 7707181122

JEFFREY SCOTT WIESEMAN (NPI# 1578040523) 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) 1578040523
Entity Type Individual
Full Name JEFFREY SCOTT WIESEMAN
Credential RN, FNP
Practice Address 725 Jesse Jewell Pkwy Se
Gainesville
GA 30501
Mailing Address 1430 Brisbane Dr
Dacula
GA 30019-7714
Practice Telephone 7707181122
Mailing Telephone 7707430310
Enumeration Date 2018-07-23
Last Update Date 2018-11-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN145013 GA Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN145013 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA AMERIGROUP 06011176 01
GA 003208071A 05
GA WELLCARE 1692220 01

Office Location

Street Address 725 JESSE JEWELL PKWY SE
City GAINESVILLE
State GA
Zip Code 30501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861495491 Priscilla Ruth Strom Surgery 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2005-05-27
1164916581 Anny Sosebee Nurse Practitioner 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 2018-06-19
1538653829 D'anna Cain Nurse Practitioner 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 2018-06-19
1518471044 Cheryl Lynn Thorsten Nurse Practitioner 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2017-11-20
1669915930 Abigail Grace Bell Dietitian, Registered 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2016-11-18
1710431226 Oteia Keion Morris Nurse Practitioner 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 2016-08-12
1588015473 Aliah D Sapp Nurse Practitioner 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2016-06-22
1821447434 Michelle Marie Ladewig Nurse Practitioner 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2016-06-06
1770944373 Kathryn Martin Weeks Nurse Practitioner 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2016-03-10
1083071732 Casey Shields Nurse Practitioner 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2016-01-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437782851 Madison Raye Huth Physician Assistant 743 Spring Street Se, Gainesville, GA 30501 2020-02-13
1205487659 Grace M Walker Brown Nurse Practitioner 592 Medical Park Dr., Suite A, Gainesville, GA 30501 2019-09-26
1174086987 Nayab Ahmed Student in an Organized Health Care Education/Training Program 743 Spring Street, Suite 710, Gainesville, GA 30501 2019-04-09
1154881118 Ryan D Berry Student in an Organized Health Care Education/Training Program 734 Spring St Se Ste 710, Gainesville, GA 30501 2019-03-24
1609336304 Harper E Niver Student in an Organized Health Care Education/Training Program 743 Spring St., Suite 710, Gainesville, GA 30501 2019-03-20
1508336173 Bradee Burrell Aderholt Nurse Practitioner 663 Lanier Park Drive, Gainesville, GA 30501 2018-11-27
1578068359 Soammy Liz Matias Chiropractor 961 Green Street, Gainesville, GA 30501 2018-03-26
1811496896 Matthew Brown Speech-Language Pathologist 500 Spring St. Se Suite 101, Gainesville, GA 30501 2018-02-06
1346769825 Dr. Skeete & Associates of North Georgia, P.C. Optometrist 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 2017-09-15
1932624723 M & B Imaging, PC Radiology 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 2017-08-14
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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
1851908446 Jade Asante-selby Nurse Practitioner 3030 Mcever Rd Ste 130, Gainesville, GA 30504-5538 2020-09-28
1295349405 Mildred K Myrtil Nurse Practitioner 3754 Nw 54th Ln, Gainesville, FL 32653-0859 2020-09-04
1821608712 Talia Rose Maschino Nurse Practitioner 1430 Se 51st St, Gainesville, FL 32641-1962 2020-08-05
1760006282 Chariza Parsons Lopez Nurse Practitioner 8340 Nw 51st St, Gainesville, FL 32653-6182 2020-06-01
1255961017 Whitney Necole Mcneely Nurse Practitioner 3009 Sw Williston Rd, Gainesville, FL 32608-3928 2020-01-21
1255961249 Jared David Mincey Nurse Practitioner 10405 Sw 122nd St, Gainesville, FL 32608-5843 2020-01-19
1346870565 Emily Grace Holbrook Nurse Practitioner 650 Crestview Ter, Gainesville, GA 30501-3110 2020-01-16
1205487659 Grace M Walker Brown Nurse Practitioner 592 Medical Park Dr., Suite A, Gainesville, GA 30501 2019-09-26
1124676218 Fasika T Enyew Nurse Practitioner 1870 Atlanta Hwy, Gainesville, GA 30504-5948 2019-08-31
1821641416 Julie Tiegs Nurse Practitioner 5431 Little River Cir, Gainesville, GA 30506-3191 2019-07-22
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Competitor

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City GAINESVILLE
Zip Code 30501

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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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