MRS. ASHLEY WILLIS LEZOTTE (NPI# 1114247921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114247921 |
Entity Type | Individual |
Full Name | MRS. ASHLEY WILLIS LEZOTTE |
Credential | NP |
Practice Address |
1131 Chapel Crossing Rd Trlr 759 Brunswick GA 31524-2002 |
Mailing Address |
503 Inverness Ct St Simons Island GA 31522-1024 |
Practice Telephone | 9122805305 |
Mailing Telephone | 9126387725 |
Enumeration Date | 2010-06-03 |
Last Update Date | 2010-06-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN145239NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1131 CHAPEL CROSSING RD TRLR 759 |
City | BRUNSWICK |
State | GA |
Zip Code | 31524-2002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568833986 | Christina Monica Scarlett | Nurse Practitioner | 1131 Chapel Crossing Rd Trlr 759, Brunswick, GA 31524-2002 | 2015-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851428056 | Tom Vann Willis Jr. | Surgery | F L T C 1131 Chapel Crossing Rd, Brunswick, GA 31524-0001 | 2007-02-27 |
1518994987 | Mark Paul Hanak | Specialist/Technologist | 1131 Chapel Crossing Rd, Federal Law Enforcement Training Center-bldg. 252/ptd, Brunswick, GA 31524-2002 | 2006-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346849627 | Karen Mccormick | Home Health Aide | 4627 Dogwood Dr, Brunswick, OH 44212-2015 | 2020-10-19 |
1013515790 | Jana H Christman | Nurse Practitioner | 81 Medical Center Dr Ste 2150, Brunswick, ME 04011-2764 | 2020-10-14 |
1265030563 | Christie Tolbert | Nurse Practitioner | 156 Banks Dr, Brunswick, GA 31523-6205 | 2020-10-09 |
1881201085 | Patricia Yates-rand | Health Educator | 2101 Albany St, Brunswick, GA 31520-5850 | 2020-09-30 |
1306453063 | Darlene Toth | Home Health | 4254 Sleepy Hollow Rd, Brunswick, OH 44212-4305 | 2020-09-28 |
1104432806 | Jefferson Medical Group | Family Medicine | 807 E Broadway St, Brunswick, MO 65236-1468 | 2020-09-17 |
1952916231 | Chadrika L Johnson | Pathology | 1800 Albany St, Brunswick, GA 31520-5901 | 2020-09-13 |
1497360861 | Rebecca Jean Burge | Home Health Aide | 4679 Butternut Dr, Brunswick, OH 44212-2809 | 2020-09-13 |
1871107029 | Ashlie Simmons | Student in an Organized Health Care Education/Training Program | 40 Hardwood Forest Cir, Brunswick, GA 31525-4738 | 2020-09-04 |
1861002974 | Cynthia Vlna | Nurse Practitioner | 1150 Potomac Dr, Brunswick, OH 44212-3142 | 2020-08-04 |
Find all providers in BRUNSWICK |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013515790 | Jana H Christman | Nurse Practitioner | 81 Medical Center Dr Ste 2150, Brunswick, ME 04011-2764 | 2020-10-14 |
1265030563 | Christie Tolbert | Nurse Practitioner | 156 Banks Dr, Brunswick, GA 31523-6205 | 2020-10-09 |
1417577800 | Chahnaz El Jaouhari | Nurse Practitioner | 500 Westchester Dr, Brunswick, OH 44212-1868 | 2020-04-25 |
1982235370 | Kristy Chesser | Nurse Practitioner | 2500 Starling St Ste 602, Brunswick, GA 31520-4271 | 2020-02-04 |
1861031023 | Mark Ryan Wylie | Nurse Practitioner | 112 Palmera Ln, Brunswick, GA 31525-3032 | 2020-01-05 |
1548738107 | Ruth Sroka | Nurse Practitioner | 4000 Sherwood Dr, Brunswick, OH 44212-2652 | 2018-11-12 |
1669949251 | Jennifer Erika Stuver | Nurse Practitioner | 46 Skyview Dr, Brunswick, OH 44212-1204 | 2018-11-01 |
1124514120 | Holly Rae Logan | Nurse Practitioner | 121 Medical Center Dr Ste 2600, Brunswick, ME 04011-2668 | 2018-07-03 |
1780187120 | Pamela Mesowski Hinson | Nurse Practitioner | 105 Clipper Bay Rd, Brunswick, GA 31523-8936 | 2018-03-12 |
1174039481 | Rachel Raney Weaver-hall | Nurse Practitioner | 209 Prior Ave, Brunswick, GA 31525-2326 | 2017-12-21 |
Find all providers in BRUNSWICK |
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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.