NNENA EZEABASILI (NPI# 1952922866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952922866 |
Entity Type | Individual |
Full Name | NNENA EZEABASILI |
Practice Address |
9491 Rollinghills Dr Jonesboro GA 30238-4109 |
Practice Telephone | 4049922286 |
Mailing Telephone | 4049922286 |
Enumeration Date | 2020-05-01 |
Last Update Date | 2020-05-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
9491 ROLLINGHILLS DR |
City | JONESBORO |
State | GA |
Zip Code | 30238-4109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366969636 | K&p Gentle Hnads Homecare | Home Health | 772 Pointe South Pkwy, Apt. 501, Jonesboro, GA 30238 | 2017-08-27 |
1568991214 | Rehab Medical, Inc | Durable Medical Equipment & Medical Supplies | 8568 Highway 85, Jonesboro, GA 30238 | 2017-06-07 |
1821472077 | Surgivue First Assisting | Nurse Practitioner | 5865 Sinclair Way, Jonesboro, GA 30238 | 2015-07-17 |
1518384106 | Visions of Life Behavioral Health Services, Incorporated | Counselor | 754 Chapman Street, Jonesboro, GA 30238 | 2014-03-21 |
1942560206 | Terri L Lee | Counselor | 7899 Waterwheel Way, Jonesboro, GA 30238 | 2012-05-21 |
1265704985 | Visiting Homecare Support Services, Inc. | Home Health | 10886 Tara Village Way, Jonesboro, GA 30238 | 2012-01-27 |
1518297175 | Heavenly Assisted Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10555 Aspenwood Ct, Jonesboro, GA 30238 | 2010-01-05 |
1649419821 | Carmen Melton Douglas | Speech-Language Pathologist | 10354 Shepperton Court, Jonesboro, GA 30238 | 2009-02-12 |
1205050259 | Caryn Ann Grzesiakowski | Chiropractor | 809 Flint River Road, Suite #4, Jonesboro, GA 30238 | 2007-04-12 |
1548325483 | Janet Musser Granski | Social Worker | 110 North Bend Court, Jonesboro, GA 30238 | 2006-12-22 |
Find all providers in zip 30238 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194346304 | Toni Cecil | Student in an Organized Health Care Education/Training Program | 4505 Mockernut Ln, Jonesboro, AR 72405-7848 | 2020-04-28 |
1629697982 | Avril Alison Parker | Student in an Organized Health Care Education/Training Program | 1301 S Madison St, Jonesboro, AR 72401-4047 | 2020-04-15 |
1013571702 | Mira Rohit Patel | Student in an Organized Health Care Education/Training Program | 300 Carson St Ste A, Jonesboro, AR 72401-3104 | 2019-04-28 |
1427611227 | Nicholas Hogan | Student in an Organized Health Care Education/Training Program | 1515 Flint St, Jonesboro, AR 72401-4911 | 2019-04-17 |
1336635390 | Yuen Ching Chan | Student in an Organized Health Care Education/Training Program | 4800 Reserve Blvd Apt K6, Jonesboro, AR 72401-8315 | 2018-07-02 |
1053843888 | Morgan Maeger | Student in an Organized Health Care Education/Training Program | 5 Willow Creek Ln, Apartment 5210, Jonesboro, AR 72404-7997 | 2017-03-30 |
1356632368 | Daniel Bretton Schroeder | Student in an Organized Health Care Education/Training Program | 2220 Emerald Dr, Jonesboro, GA 30236-5224 | 2011-04-25 |
1598387417 | Logan Bevill | Student in an Organized Health Care Education/Training Program | 311 E Matthews Ave, Jonesboro, AR 72401-3125 | 2020-05-13 |
1497376040 | Zachary Carter Lee | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-05 |
1598386344 | Austin Richardson | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-04 |
Find all providers in JONESBORO |
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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.