SHAQUINA JIMMERSON


Address: 1401 Peachtree St Ne, Suite 500, Atlanta, GA 30213
Phone: (770) 377-3935

SHAQUINA JIMMERSON (NPI# 1134642846) 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) 1134642846
Entity Type Individual
Full Name SHAQUINA JIMMERSON
Practice Address 1401 Peachtree St Ne, Suite 500
Atlanta
GA 30213
Mailing Address 110 Muscadine Ct S
Fairburn
GA 30213-6066
Practice Telephone (770) 377-3935
Mailing Telephone 7703773935
Enumeration Date 2017-07-25
Last Update Date 2017-07-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
9703 GA Behavioral Health & Social Service Providers

Office Location

Street Address 1401 PEACHTREE ST NE, SUITE 500
City ATLANTA
State GA
Zip Code 30213

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1144658543 Vanetta Donna Della Williams Social Worker 7923 Heathmore Drive, Fairburn, GA 30213 2013-10-22
1831522671 Monique Harris Social Worker 7922 Applemist Dr, Fairburn, GA 30213 2013-08-15
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1891303426 Cheryl E Williams Counselor 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 2020-07-20
1376161760 Lisa J Strube Counselor 49 Lenox Pointe Ne Ste C, Atlanta, GA 30324-7426 2020-07-11
1881210201 Destiny Winters Counselor 900 Dekalb Ave Ne Ste K, Atlanta, GA 30307-2501 2020-06-22
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Competitor

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City ATLANTA
Zip Code 30213

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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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