JESSICA SELLERS (NPI# 1104215763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104215763 |
| Entity Type | Individual |
| Full Name | JESSICA SELLERS |
| Credential | WHNP-BC |
| Practice Address |
1015 Mansell Rd Roswell GA 30076-1507 |
| Practice Telephone | 7705212229 |
| Practice Fax Number | 7705212231 |
| Mailing Telephone | 7705212229 |
| Mailing Fax Number | 7705212231 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
RN211840 | GA | Nursing Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN211840 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144776030 | Jessica Elizabeth Sellers | Physical Therapist | 5608 Ridge Ave, Apt F5, Philadelphia, PA 19128-2733 | 2016-08-30 |
| 1144473521 | Jessica Sellers | Behavioral Analyst | 1245 Lighthouse Pl, Brentwood, TN 37027-8353 | 2008-10-29 |
| 1467814392 | Jessica Sellers | Social Worker | 140 Stoneridge Dr, Suite 350, Columbia, SC 29210-8200 | 2016-03-21 |
| 1124333257 | Jessica Sellers | Pharmacist | 813 Davidson Dr Nw, Concord, NC 28025-4351 | 2010-08-12 |
| Street Address |
1015 MANSELL RD |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295828978 | Hughan R.h Frederick | Obstetrics & Gynecology | 1015 Mansell Rd, Roswell, GA 30076-1507 | 2006-10-02 |
| 1528559655 | Lynn Marie Earman | Nurse Practitioner | 1015 Mansell Rd, Roswell, GA 30076-1507 | 2018-05-24 |
| 1235659897 | Brittany Latrese Ellison | Advanced Practice Midwife | 1015 Mansell Rd, Roswell, GA 30076-1507 | 2017-06-26 |
| 1417477472 | Alyssa Bantz Hindmon | Midwife | 1015 Mansell Rd, Roswell, GA 30076-1507 | 2017-06-21 |
| 1346620960 | Urania Davis | Obstetrics & Gynecology | 1015 Mansell Rd, Roswell, GA 30076-1507 | 2015-06-09 |
| 1053725408 | Linda Chacko Kuzhippala | Obstetrics & Gynecology | 1015 Mansell Rd, Roswell, GA 30076 | 2014-06-13 |
| 1609063239 | Laquita Renee Martinez | Obstetrics & Gynecology | 1015 Mansell Rd, Roswell, Roswell, GA 30076-1507 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699803890 | Mary J Mendoza | Nurse Practitioner | 200 E Chisum St, Roswell, NM 88203-5406 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368328 | Jennifer Cobb | Nurse Practitioner | 130 Champlain St, Decatur, GA 30030-1803 | 2020-08-29 |
| 1336766476 | Nadine L Donahue | Nurse Practitioner | 1703 Oglethorpe Dr Ne, Brookhaven, GA 30319-2791 | 2020-07-05 |
| 1003465337 | Kaitlin Wilson | Nurse Practitioner | 5195 Jimmy Carter Blvd, Norcross, GA 30093-1649 | 2019-09-09 |
| 1912555939 | Erika Parks | Nurse Practitioner | 81 Upper Riverdale Rd Sw Ste 210, Riverdale, GA 30274-2627 | 2019-09-03 |
| 1427600469 | Kytrena L Harris | Nurse Practitioner | 232 Seaton Ave, Grovetown, GA 30813-4259 | 2019-07-10 |
| 1720640162 | Sonya Coutee Wallace | Nurse Practitioner | 3200 Highlands Pkwy Se Ste 420, Smyrna, GA 30082-5192 | 2019-07-06 |
| 1134783152 | Julia Coleman Quinn | Nurse Practitioner | 220 Cobb Pkwy N Ste 500, Marietta, GA 30062-3580 | 2019-04-24 |
| 1144782749 | Keely Darnell | Nurse Practitioner | 133 Samaritan Dr Ste 306, Cumming, GA 30040-2396 | 2019-04-02 |
| 1578020103 | Stacey Leigh Newpher | Nurse Practitioner | 960 Johnson Fy Rd Ne Ste 130, Atlanta, GA 30342-1601 | 2019-03-01 |
| 1144702226 | Veneah Shante Hall | Nurse Practitioner | 440 Moreland Ave Se, Atlanta, GA 30316-1926 | 2018-09-05 |
| 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.