JENNIFER LYNNE BROOME (NPI# 1619500071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619500071 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNNE BROOME |
| Practice Address |
9b Medical Dr Ne Cartersville GA 30121-8003 |
| Mailing Address |
Po Box 1931 Rome GA 30162-1931 |
| Practice Telephone | 7703879578 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN290853 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144316068 | Jennifer L Broome | Pediatrics | 1708 W. Rogers Ave, Baltimore, MD 21209-4596 | 2006-10-05 |
| Street Address |
9B MEDICAL DR NE |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30121-8003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639700065 | Emilee Mcdonald Thomas | Pharmacist | 125 E Main Street Marketplace, Cartersville, GA 30121 | 2020-02-04 |
| 1245750249 | Gina Marie Hoosline | Contractor | 38 Roving Rd Se, Cartersville, GA 30121 | 2017-06-21 |
| 1730634239 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 125 E Main St Se, Cartersville, GA 30121 | 2016-08-25 |
| 1811340797 | Pt Solutions of Acworth LLC | Physical Therapist | 261 Stars Way, Cartersville, GA 30121 | 2016-07-15 |
| 1053572172 | Helen Clair Medlin | Nurse Practitioner | 255 Prosperity Way Ne, Adairsville, GA 30121 | 2008-06-20 |
| 1669539508 | The Healthcaring Clinic of Georgia, LLC | Nurse Practitioner | 491 East Main St., Cartersville, GA 30121 | 2007-01-02 |
| 1275636334 | Medicine Stop Pharmacy | Pharmacy | 117 S Tennessee St, Cartersville, GA 30121 | 2006-09-06 |
| 1750494423 | Georgia Pain Spine Center | Clinic/Center | 15 Medical Drive, Suite 302, Cartersville, GA 30121 | 2006-08-16 |
| 1932138716 | Cartersville Diagnostic Center | Clinic/Center | 21 Pointe North Drive, Suite 105, Cartersville, GA 30121 | 2006-07-02 |
| 1689663825 | Howard Jamie Williams | Physician Assistant | 15 Medical Dr Ne Ste 101, Cartersville, GA 30121 | 2005-10-20 |
| Find all providers in zip 30121 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437461399 | Karen J Fegely | Nurse Practitioner | 970 Cassville White Rd Ne, Cartersville, GA 30121-7203 | 2010-07-08 |
| 1902073778 | Diana M Baughman | Nurse Practitioner | 1 N Tennessee St, Cartersville, GA 30120-3339 | 2008-05-12 |
| 1669539508 | The Healthcaring Clinic of Georgia, LLC | Nurse Practitioner | 491 East Main St., Cartersville, GA 30121 | 2007-01-02 |
| 1033717418 | Sandy Menard | Nurse Practitioner | 125 W Main St, Cartersville, GA 30120-3507 | 2020-10-16 |
| 1376153775 | Eunice Nsom | Nurse Practitioner | 965 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2130 | 2020-07-31 |
| 1114558723 | Danny Le | Nurse Practitioner | 650 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-3962 | 2020-02-01 |
| 1578103123 | Daniella Salazar Stearns | Nurse Practitioner | 650 Henderson Dr Ste 504, Cartersville, GA 30120-3760 | 2020-01-12 |
| 1184266066 | Cathrine Joseph Cheriyampurath | Nurse Practitioner | 650 Henderson Dr Ste 504, Cartersville, GA 30120-3760 | 2019-10-12 |
| 1588229330 | Lilian Chira | Nurse Practitioner | 950 E Main St, Cartersville, GA 30121-2225 | 2019-05-07 |
| 1316405608 | Ashley Lewis Satterfield | Nurse Practitioner | 100 Zena Dr, Cartersville, GA 30121-2482 | 2019-03-06 |
| Find all providers in CARTERSVILLE | ||||
| City | CARTERSVILLE |
| Zip Code | 30121 |
Please comment or provide details below to improve the information on JENNIFER LYNNE BROOME.
| 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.