MRS. LENISE MARLENA JORDAN (NPI# 1639595309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639595309 |
| Entity Type | Individual |
| Full Name | MRS. LENISE MARLENA JORDAN |
| Credential | NP-C |
| Practice Address |
2994 Atlanta Rd Se Smyrna GA 30080-3655 |
| Mailing Address |
2404 Glynn Oaks Ct Sw Marietta GA 30008-8102 |
| Practice Telephone | 8663892727 |
| Mailing Telephone | 4048220297 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2018-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN162420 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2994 ATLANTA RD SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-3655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730208083 | Juandria Nicole Montgomery | Nurse Practitioner | 2994 Atlanta Rd Se, Smyrna, GA 30080-3655 | 2007-03-28 |
| 1447869482 | Onyinye Adaora Ukadike | Nurse Practitioner | 2994 Atlanta Rd Se, Smyrna, GA 30080-3655 | 2020-07-27 |
| 1043739477 | Yuri Ayana Taylor | Nurse Practitioner | 2994 Atlanta Rd Se, Smyrna, GA 30080-3655 | 2017-09-18 |
| 1265952329 | Chibugo Ejisoby-nwosu | Pharmacist | 2994 Atlanta Rd Se, Smyrna, GA 30080-3655 | 2017-06-21 |
| 1780091983 | Blessing Ada Ikonne | Nurse Practitioner | 2994 Atlanta Rd Se, Smyrna, GA 30080-3655 | 2014-07-20 |
| 1528310794 | Amber Irabor | Nurse Practitioner | 2994 Atlanta Rd Se, Smyrna, GA 30080-3655 | 2012-10-11 |
| 1376839720 | Jenny Walker | Nurse Practitioner | 2994 Atlanta Rd Se, Smyrna, GA 30080-3655 | 2011-06-23 |
| 1669763504 | Gloria Carol Miller | Nurse Practitioner | 2994 Atlanta Rd Se, Smyrna, GA 30080-3655 | 2011-04-26 |
| 1861711749 | Nisha Jiwani Ali | Nurse Practitioner | 2994 Atlanta Rd Se, Smyrna, GA 30080-3655 | 2010-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260972 | Olivia Sims Michel | Nurse Practitioner | 3375 Spring Hill Pkwy Se Apt 1729, Smyrna, GA 30080-6867 | 2020-09-20 |
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1336606060 | Eunice Carreen Boyd-gant | Nurse Practitioner | 249 Arrowood Dr, Smyrna, DE 19977-4443 | 2019-02-28 |
| 1801351564 | Nicole Howard | Nurse Practitioner | 100 S Main St Ste 205, Smyrna, DE 19977-1479 | 2019-02-07 |
| 1104390491 | Lydia Al-awabdy | Nurse Practitioner | 501 Tackett Farms Rd, Smyrna, GA 30082-3918 | 2019-01-19 |
| 1346714094 | Angelica Marie Epps | Nurse Practitioner | 1505 Countryside Pl Se, Smyrna, GA 30080-8247 | 2019-01-16 |
| 1871085530 | Jessica Rose Goergen | Nurse Practitioner | 4441 Atlanta Rd Se Ste 317, Smyrna, GA 30080-6443 | 2018-05-30 |
| 1063965168 | Tehri Kellie Roberts | Nurse Practitioner | 300 Stonecrest Blvd Ste 210, Smyrna, TN 37167-6800 | 2016-07-26 |
| 1164885935 | Jullie Sweetser | Nurse Practitioner | 4452 Oakdale Rd Se, Smyrna, GA 30080-6934 | 2016-03-30 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| Find all providers in SMYRNA | ||||
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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.