WILLIAM JORDAN KINNETT


Address: 1205 Tift Ave N, Tifton, GA 31794
Phone: 2293919281

WILLIAM JORDAN KINNETT (NPI# 1194383075) 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) 1194383075
Entity Type Individual
Full Name WILLIAM JORDAN KINNETT
Credential MSN, APRN, ACNPC-AG
Practice Address 1205 Tift Ave N
Tifton
GA 31794
Mailing Address Po Box 715
Tifton
GA 31793-0715
Practice Telephone 2293919281
Practice Fax Number 2293919857
Mailing Telephone 2293919281
Mailing Fax Number 2293919857
Enumeration Date 2019-06-05
Last Update Date 2019-11-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN207403 GA Nursing Service Providers
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
RN207403 GA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
183 Tallassee Trl, Leesburg, GA 317633769 2297331923

Office Location

Street Address 1205 TIFT AVE N
City TIFTON
State GA
Zip Code 31794

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982234043 Deloris Lunsford Licensed Practical Nurse 903 Washington St., Tifton, GA 31794 2020-01-17
1598321200 Courtlyn Christanna Fussell Pharmacist 2201 Hwy 41 N, Tifton, GA 31794 2019-05-17
1376027722 Martha Gibbs Nurse Practitioner Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 2018-09-21
1427541044 Rebekah F Cottle Speech-Language Pathologist 2227 Highway 41 North, Tifton, GA 31794 2018-06-08
1790280857 Tift Regional Health System Inc Ophthalmology 1803 Old Ocilla Road, Tifton, GA 31794 2018-03-29
1568975431 Skyler Clark Pharmacist 2201 North 12th Street, Tifton, GA 31794 2017-11-14
1538606306 Imagine Peace Counseling LLC Counselor 223 E 2nd Street, Suite B, Tifton, GA 31794 2017-01-31
1073056347 Jessica Tumbling Contractor 219 Savannah Way, Tifton, GA 31794 2016-11-18
1992159503 Joseph Thomas Seagraves Jr. Nurse Practitioner 901 East 18th Street, Tifton, GA 31794 2016-04-20
1396119186 Rebecca Golden Waldrop Speech-Language Pathologist 117 3rd St E, Tifton, GA 31794 2015-11-17
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851891063 Sarah Loepker Nurse Practitioner 901 18th St E, Tifton, GA 31794-3648 2018-02-14
1104348432 Garrett Shane Surrency Nurse Practitioner 2225 Us Highway 41 N, Tifton, GA 31794-2749 2017-07-07
1972997799 Rebecca Angeles Denise Brown Nurse Practitioner 2225 Us Highway 41 N, Tifton, GA 31794-2749 2015-03-19
1063481224 Judy E Weaver Nurse Practitioner 1007 Greenfield Dr, Tifton, GA 31794-3795 2006-03-17
1649249285 Jessica Hunter Mathis Nurse Practitioner 1007 Greenfield Dr, Tifton, GA 31794-3795 2006-03-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265032114 Candace Buckley Nurse Practitioner 244 Ashland Dr, Woodstock, GA 30189-7161 2020-10-29
1679170740 Jennifer Lassiter Nurse Practitioner 4116 Holley Rd., Lizella, GA 31052 2020-10-02
1891301164 Tashoy Wallace Nurse Practitioner 121 Odyssey Turn, Conyers, GA 30012-3681 2020-09-21
1912513672 Katherine Anne Sego Nurse Practitioner 4060 Rolling Meadows Ln, Watkinsville, GA 30677-3011 2020-09-18
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1588276505 Sherron Johnson Nurse Practitioner 1980 Wrights Way, Jonesboro, GA 30236-7205 2020-08-20
1942811682 Ashlee Renee Mack Nurse Practitioner 116 Slate Cir, Savannah, GA 31419-9681 2020-08-16
1467063610 Rosa Maria Phillips Nurse Practitioner 649 Amicalola Woods Rd, Dawsonville, GA 30534-1205 2020-08-12
1508476581 Jarvis Reese Nurse Practitioner 413 Tug Ct, Warner Robins, GA 31088-2134 2020-08-05
1750991790 Akosua Frema Sarfo Nurse Practitioner 116 Ginkgo Ln, Grovetown, GA 30813-5392 2020-08-04
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Competitor

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City TIFTON
Zip Code 31794

Improve Information

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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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