LORI PULLIAM (NPI# 1194369587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194369587 |
| Entity Type | Individual |
| Full Name | LORI PULLIAM |
| Credential | FNP |
| Practice Address |
470 Northside Cherokee Blvd Ste 250 Canton GA 30115-8015 |
| Mailing Address |
1490 Oakdale Rd Canton GA 30114-4506 |
| Practice Telephone | 4044591838 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN215924 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
470 NORTHSIDE CHEROKEE BLVD STE 250 |
| City | CANTON |
| State | GA |
| Zip Code | 30115-8015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875081 | Mohamed Jamal | Nurse Practitioner | 48485 River Way Dr, Canton, MI 48187-5622 | 2020-09-11 |
| 1851906713 | Anishaben Sheth | Nurse Practitioner | 46882 Torrey Hill Ct, Canton, MI 48187-4885 | 2020-09-08 |
| 1184240251 | Timothy John Mcginnis | Nurse Practitioner | 755 Stonehenge Dr, Canton, MI 48188-1257 | 2020-06-24 |
| 1952927477 | Alexandra Arzenshek | Nurse Practitioner | 1042 Creek Side Dr, Canton, GA 30115-8541 | 2020-06-20 |
| 1326663717 | Meghan Markham | Nurse Practitioner | 111 Mountain Brook Dr Ste 100, Canton, GA 30115-9045 | 2020-06-11 |
| 1194348821 | Janet L Jarrette | Nurse Practitioner | 100 Generals Pl, Canton, GA 30114-5881 | 2020-05-28 |
| 1326685124 | Cicely Lashay Scott | Nurse Practitioner | 208 Winterbury Dr, Canton, GA 30114-1235 | 2019-11-30 |
| 1609410976 | Ashley N Decraene | Nurse Practitioner | 50153 Grant St, Canton, MI 48188-3480 | 2019-10-30 |
| 1437719192 | Ebone' Sade' Singleton | Nurse Practitioner | 124 Links Dr Apt 204k, Canton, MS 39046-5388 | 2019-06-15 |
| 1548820319 | Nephtalie Gracieuse Renelique | Nurse Practitioner | 211 Bay Dr, Canton, MA 02021-4186 | 2019-06-14 |
| Find all providers in CANTON | ||||
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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.