MRS. JACQUELINE MARKS


Address: 450 Northside Cherokee Blvd, Canton, GA 30115-8015
Phone: 7702241000

MRS. JACQUELINE MARKS (NPI# 1942634175) 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) 1942634175
Entity Type Individual
Full Name MRS. JACQUELINE MARKS
Credential NP
Practice Address 450 Northside Cherokee Blvd
Canton
GA 30115-8015
Mailing Address 7703 Floyd Curl Dr
Mc7977
San Antonio
TX 78229-3901
Practice Telephone 7702241000
Practice Fax Number 7702242451
Mailing Telephone 2103584000
Enumeration Date 2013-08-23
Last Update Date 2020-04-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
RN163623 GA Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
840805 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX CSHCN 327389803 01
TX 327389802 05

Office Location

Street Address 450 NORTHSIDE CHEROKEE BLVD
City CANTON
State GA
Zip Code 30115-8015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295732600 Paul J Hyler Internal Medicine 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2005-06-30
1790390706 Bradley Louis Mccoul Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-09-15
1164035747 Candice Caroline Bramlett Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-08-25
1336751494 Kalum Leiba Anesthesiologist Assistant 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-08-20
1093339533 Tara Talbott Oberman Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-06-01
1568085157 Ross W Devantier Specialist/Technologist, Other 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-05-19
1427679034 Joseph Liverman Specialist/Technologist, Other 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-05-05
1518595503 Erica D Burns Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-03-27
1093346066 Emily Beecher Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-01-29
1497393268 Stephanie Knight Ellis Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2019-12-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497364806 Amanda Arbogast Speech-Language Pathologist 610 Royal Crest Court, Canton, GA 30115 2020-07-31
1033754163 Kelly Marie Shirley Nurse Practitioner 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 2019-11-13
1700394319 Jennifer Lynn Davenport Nurse Practitioner 684 Sixes Rd Ste 125, Holly Springs, GA 30115 2018-01-17
1851717961 Wal-mart Stores East, Lp Technician/Technologist 2200 Holly Springs Pkey, Holly Springs, GA 30115 2014-03-13
1194148502 Julia Bedingfield Reid Pharmacist 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 2014-01-22
1447597992 America's Best Contacts & Eyeglasses Technician/Technologist 2030 Cumming Highway, Suite 106, Canton, GA 30115 2013-01-03
1679821193 Jill M Decorso Speech-Language Pathologist 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 2012-08-15
1306113378 Sidney Boyd Collier IIi Pharmacist 6111 Hickory Flat Highway, Canton, GA 30115 2011-11-18
1174804702 Rayllensons Itacy Physician Assistant 2020 Cumming Highway, Suite 102, Canton, GA 30115 2011-09-09
1245534346 Kim M. Mcmillan Counselor 154 Lakeside Drive, Canton, GA 30115 2011-01-04
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578055349 Laurie-ann Cadene Mitchell Nurse Practitioner 3271 Riverside Ct, Canton, MI 48188-2330 2018-06-06
1104328053 Katelyn Marie Carey Nurse Practitioner 45300 Lothrop Rd, Canton, MI 48188-1080 2018-03-07
1760022834 Sydney C Pritchett Nurse Practitioner 2600 Tuscarawas St W, Canton, OH 44708-4644 2020-01-07
1851879126 Katina Grant Nurse Practitioner 122 E Academy St, Canton, MS 39046 2018-07-30
1235642778 Joanne Marie Foith Nurse Practitioner 2600 Sixth St Sw, Canton, OH 44710-1702 2017-11-07
1346693504 Kyle Mccarthy Nurse Practitioner 180 S Main St, Canton, IL 61520-2608 2016-07-22
1659765832 Lucia V Ocanoviciu Nurse Practitioner 460 Northside Cherokee Blvd Ste 300, Canton, GA 30115-8019 2015-03-25
1104133321 Laura R. Pierce Nurse Practitioner 4650 Hills and Dales Rd Nw, Canton, OH 44708-6220 2010-09-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639784788 Natasha Allen Nurse Practitioner 4177 Pelham Cir, Lithonia, GA 30038-6140 2020-09-14
1336753920 Henny P Brown Nurse Practitioner 3430 Ridgeland Pl, Alpharetta, GA 30004-8483 2020-09-01
1487267415 Alethea Hope Tucker Nurse Practitioner 3685 Braselton Hwy Ste 100, Dacula, GA 30019-5920 2020-08-28
1952913808 Carol Jo Wilbanks Nurse Practitioner 206 Crest Dr, Rock Spring, GA 30739-2041 2020-08-21
1164032017 Myiesha Sellers Mcfarlin Nurse Practitioner 55 Sellers Ln, Baxley, GA 31513-2208 2020-08-05
1124645395 Kisha Smalley Nurse Practitioner 117 Gambier Cv, Mcdonough, GA 30252-6273 2020-07-02
1346861127 Finan Tedla Nurse Practitioner 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 2020-05-03
1841819547 Millicent Charte Duncan Nurse Practitioner 138 Parkview Rd, Savannah, GA 31419-9672 2020-04-13
1891329660 Tracey Lynn Murray Nurse Practitioner 980 Johnson Ferry Rd Ste 880, Sandy Springs, GA 30342-1609 2020-03-02
1841820917 Vedic Family Practice and Wellness Nurse Practitioner 1240 Upper Hembree Rd Ste E, Roswell, GA 30076-0914 2020-01-17
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Competitor

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City CANTON
Zip Code 30115

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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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