MRS. JENNIFER SUZANNE CANTRELL (NPI# 1902032915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902032915 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER SUZANNE CANTRELL |
| Credential | CPNP |
| Practice Address |
1862 Auburn Rd Suite 107 Dacula GA 30019-1676 |
| Practice Telephone | 6782884142 |
| Mailing Telephone | 6782884142 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2014-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN166999NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783774 | Jennifer Cantrell | Counselor | 303 Gervais Rd, Franklin Furnace, OH 45629-8742 | 2020-06-03 |
| 1528434081 | Jennifer May Cantrell | Nurse Practitioner | 44354 Highway 445, Suite D, Robert, LA 70455-1999 | 2015-08-18 |
| 1568884831 | Jennifer Cantrell | Nurse Practitioner | 1098 South Mayo Trail, Grace Call Building, Pikeville, KY 41501 | 2014-01-06 |
| 1376811695 | Jennifer Dawn Cantrell | Pharmacist | 2431 N Union Blvd, Colorado Springs, CO 80909-1107 | 2011-12-01 |
| 1942442520 | Jennifer Cantrell | Psychologist | 25882 Orchard Lake Rd, Suite L5a, Farmington Hills, MI 48336-1292 | 2009-03-30 |
| 1174782601 | Jennifer L Cantrell | Nurse Anesthetist, Certified Registered | 405 Arrowhead Blvd, Suite C, Jonesboro, GA 30236-1254 | 2008-06-09 |
| Street Address |
1862 AUBURN RD SUITE 107 |
| City | DACULA |
| State | GA |
| Zip Code | 30019-1676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750442299 | Gina M Maxey | Pediatrics | 1862 Auburn Rd, Dacula, GA 30019-1676 | 2006-12-12 |
| 1598101388 | Village Pediatrics, PC | Pediatrics | 1862 Auburn Rd, Suite 107, Dacula, GA 30019-1676 | 2013-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228171 | Mackenson Lafortune | Physical Therapy Assistant | 1424 Filigree Pl, Dacula, GA 30019 | 2019-10-29 |
| 1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
| 1780160580 | Cielitha Ruffin | Nurse Practitioner | 1223 Bentley Estates Dr., Dacula, GA 30019 | 2018-07-15 |
| 1386135663 | Anke Mbapeh | Nurse Practitioner | 2100 Browning Bend Ct, Dacula, GA 30019 | 2018-05-23 |
| 1053820282 | Ethan Zachariah Merrow | Student in an Organized Health Care Education/Training Program | 1701 Mulberry Lake Drive, Dacula, GA 30019 | 2017-09-20 |
| 1043737547 | Dawn Hedley | Dietitian, Registered | 3567 Vern Way, Dacula, GA 30019 | 2017-08-25 |
| 1831545367 | Angela Owusu-edusei | Nurse Practitioner | 3226 Dolostone Way, Dacula, GA 30019 | 2016-05-13 |
| 1528458718 | Philomena Gyamfi | Registered Nurse | 1088 Milford Ln, Dacula, GA 30019 | 2015-01-27 |
| 1417375247 | Casey Goldman Sommerfeld | Pediatrics | 2240 Hamilton Creek Pkwy Ste 600, Dacula, GA 30019 | 2014-03-29 |
| 1417398215 | Samia Tahil | Home Health | 2821 Spence Ct, Dacula, GA 30019 | 2013-07-10 |
| Find all providers in zip 30019 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407037195 | Julia M Self | Nurse Practitioner | 3619 Braselton Hwy Ste 103, Dacula, GA 30019-4668 | 2007-11-21 |
| 1679985691 | Nicole Killian | Nurse Practitioner | 3619 Braselton Hwy Ste 103, Dacula, GA 30019-4668 | 2014-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565811 | Rebecca Danielle Wegman | Nurse Practitioner | 5445 Meridian Mark Rd Ste 380, Atlanta, GA 30342-4755 | 2020-10-09 |
| 1629675657 | Casey Cullins | Nurse Practitioner | 980 Johnson Fy Rd Ne Ste 680, Atlanta, GA 30342-1608 | 2020-10-02 |
| 1336755289 | Taylor Bishop | Nurse Practitioner | 51 Hidden Lake Ct, Savannah, GA 31419-1664 | 2020-09-16 |
| 1942815717 | Valerie Renee' Grenald | Nurse Practitioner | Augusta University Health, Augusta, GA 30912-0001 | 2020-09-09 |
| 1538798095 | Brittany Nicole Heitkamp | Nurse Practitioner | 5461 Meridian Mark Rd Ste 540, Atlanta, GA 30342-3283 | 2020-04-06 |
| 1629606421 | Anna Elizabeth Patton | Nurse Practitioner | 12 Sammy Mcghee Blvd Ste 102, Jasper, GA 30143-7712 | 2020-03-29 |
| 1093342131 | Lindsay Pare | Nurse Practitioner | 2225 Twin Lakes Dr, Atlanta, GA 30339-4123 | 2020-03-26 |
| 1215564976 | Stephanie Laurel Toole | Nurse Practitioner | 625 Big Shanty Rd Nw, Kennesaw, GA 30144-3646 | 2020-03-24 |
| 1740816487 | Aleksa Rozman | Nurse Practitioner | 1121 Johnson Ferry Rd Ste 220, Marietta, GA 30068-2763 | 2020-03-13 |
| 1912530866 | Rebecca L Brigola | Nurse Practitioner | 4120 Five Forks Trickum Rd Sw Ste 102, Lilburn, GA 30047-8975 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
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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.