ANDREA NICOLE PENN


Address: 5670 Peachtree Dunwoody Rd, Suite 1000, Atlanta, GA 30342-1699
Phone: 4042551930

ANDREA NICOLE PENN (NPI# 1235520545) 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) 1235520545
Entity Type Individual
Full Name ANDREA NICOLE PENN
Credential NP
Practice Address 5670 Peachtree Dunwoody Rd
Suite 1000
Atlanta
GA 30342-1699
Practice Telephone 4042551930
Mailing Telephone 4042551930
Enumeration Date 2015-02-09
Last Update Date 2016-08-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
RN216061 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5670 PEACHTREE DUNWOODY RD
SUITE 1000
City ATLANTA
State GA
Zip Code 30342-1699

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104810621 Barry David Silverman Internal Medicine 5670 Peachtree Dunwoody Rd, Ste 880, Atlanta, GA 30342-1699 2005-09-12
1043744295 Leslie Ivory Specialist/Technologist, Other 5670 Peachtree Dunwoody Rd, Suite 820, Atlanta, GA 30342-1699 2017-04-14
1124570692 Janeille Johnson Pharmacist 5670 Peachtree Dunwoody Rd, Atlanta, GA 30342-1699 2016-10-31
1366990178 Marc Ta Pharmacist 5670 Peachtree Dunwoody Rd, Suite 1100, Atlanta, GA 30342-1699 2016-09-21
1710434980 Toranj Aghaghiri Pharmacist 5670 Peachtree Dunwoody Rd, Suite 1100, Atlanta, GA 30342-1699 2016-09-06
1376904623 Melissa Stewart Nurse Practitioner 5670 Peachtree Dunwoody Rd, Suite 1000, Atlanta, GA 30342-1699 2016-03-15
1740660984 Kimberly Page Nurse Practitioner 5670 Peachtree Dunwoody Rd, Suite 1000, Atlanta, GA 30342-1699 2015-06-03
1184003980 Clayton Young Physician Assistant 5670 Peachtree Dunwoody Rd, Suite 880, Atlanta, GA 30342-1699 2015-05-26
1619392487 Nsh Cancer Institue Professional Services A, LLC Nurse Practitioner 5670 Peachtree Dunwoody Rd, Suite 1100, Atlanta, GA 30342-1699 2014-03-03
1316362262 Tiffany Davis Pearson Nurse Practitioner 5670 Peachtree Dunwoody Rd, Suite 1000, Atlanta, GA 30342-1699 2014-03-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144820614 Nia Charnice Griffin Nurse Practitioner 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 2020-10-26
1255945184 Jennifer Lynne Cole Behavior Technician 5555 Glenridge Con Suite 200, Atlanta, GA 30342 2020-09-08
1093336232 Van Tran Respiratory Therapist, Registered 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 2020-04-28
1356978340 Twyla Douglas Jackson I Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 2020-03-27
1760013411 Emily Hamm Dietitian, Registered 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 2020-01-31
1043855984 Mackenzie Tucker Wayda Registered Nurse 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 2019-11-14
1386288454 Tiauna Lashun Cochman Psychologist 1307 Glenridge Dr, Sandy Springs, GA 30342 2019-11-01
1164074399 Stephen J. White Hearing Instrument Specialist 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 2019-07-09
1144788142 Jaytyn LLC Internal Medicine 4600 Broswell Road, Atlanta, GA 30342 2019-03-08
1760954705 Mishele Walker LLC Counselor 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 2018-12-31
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477154110 Christina Danielle Palau Vaccari Nurse Practitioner 712 Pasley Ave Se, Atlanta, GA 30316-2158 2020-11-07
1386144848 Gabrielle Nicole Stevens Nurse Practitioner 980 Johnson Ferry Rd Ste 900, Atlanta, GA 30342-4768 2018-02-20
1316451909 Tamika Antoinette Thompson Nurse Practitioner 2569 Saint Paul Dr Sw, Atlanta, GA 30331-9221 2017-11-20
1396268819 Erin Bremer Nurse Practitioner 12 Executive Park Dr Ne Fl 4, Atlanta, GA 30329-2206 2017-07-18
1275063513 Dhruvangi Sharma Nurse Practitioner 8095 Roswell Rd, Atlanta, GA 30350-3931 2017-06-19
1093191249 Sheryl Lamb Nurse Practitioner 455 E Ontario Ave Sw, Atlanta, GA 30310-1505 2015-08-10
1831584549 Hope A Khan Nurse Practitioner 7101 Saint Clair Dr Ne, Atlanta, GA 30329-2679 2015-03-30
1669891941 Sherly Clairvil Nurse Practitioner 5825 Glenridge Dr Ste 120, Atlanta, GA 30328-5387 2014-04-15
1770906620 Countiss Williams Nurse Practitioner 3161 Howell Mill Rd Nw Ste 400, Atlanta, GA 30327-2117 2014-01-29
1609207208 Bonnie Sparks Nurse Practitioner 1762 Clifton Road Ne, Atlanta, GA 30022 2013-12-06
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Competitor

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City ATLANTA
Zip Code 30342

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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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