CHIDINMA ANULIEKETTE


Address: 1098 Winding Down Way, Grayson, GA 30017-1599
Phone: 4042003670

CHIDINMA ANULIEKETTE (NPI# 1144799305) 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) 1144799305
Entity Type Individual
Full Name CHIDINMA ANULIEKETTE
Credential AGACNP
Practice Address 1098 Winding Down Way
Grayson
GA 30017-1599
Practice Telephone 4042003670
Mailing Telephone 4042003670
Enumeration Date 2018-11-17
Last Update Date 2018-11-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
RN136584 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1098 WINDING DOWN WAY
City GRAYSON
State GA
Zip Code 30017-1599

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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
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1942811682 Ashlee Renee Mack Nurse Practitioner 116 Slate Cir, Savannah, GA 31419-9681 2020-08-16
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Competitor

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City GRAYSON
Zip Code 30017

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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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