MRS. SHELLEY HANNON


Address: 1498 Jesse Jewell Pkwy Se Ste C, Gainesville, GA 30501-3874
Phone: 7702199380

MRS. SHELLEY HANNON (NPI# 1295983286) 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) 1295983286
Entity Type Individual
Full Name MRS. SHELLEY HANNON
Credential NP
Practice Address 1498 Jesse Jewell Pkwy Se Ste C
Gainesville
GA 30501-3874
Mailing Address Po Box 742616
Atlanta
GA 30374-2616
Practice Telephone 7702199380
Mailing Telephone 7702198420
Enumeration Date 2008-09-03
Last Update Date 2020-10-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
RN150842 GA Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN150842 GA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
200 S Enota Dr Ne, Ste 200, Gainesville, GA 305013473 7705342020 7705348025

Office Location

Street Address 1498 JESSE JEWELL PKWY SE STE C
City GAINESVILLE
State GA
Zip Code 30501-3874

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104964006 Jennifer Leech Nurse Practitioner 1498 Jesse Jewell Pkwy Se Ste C, Gainesville, GA 30501-3874 2007-02-02
1396943973 Andrew Emmons Green Obstetrics & Gynecology 1498 Jesse Jewell Pkwy Se Ste C, Gainesville, GA 30501 2007-07-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437782851 Madison Raye Huth Physician Assistant 743 Spring Street Se, Gainesville, GA 30501 2020-02-13
1205487659 Grace M Walker Brown Nurse Practitioner 592 Medical Park Dr., Suite A, Gainesville, GA 30501 2019-09-26
1174086987 Nayab Ahmed Student in an Organized Health Care Education/Training Program 743 Spring Street, Suite 710, Gainesville, GA 30501 2019-04-09
1154881118 Ryan D Berry Student in an Organized Health Care Education/Training Program 734 Spring St Se Ste 710, Gainesville, GA 30501 2019-03-24
1609336304 Harper E Niver Student in an Organized Health Care Education/Training Program 743 Spring St., Suite 710, Gainesville, GA 30501 2019-03-20
1508336173 Bradee Burrell Aderholt Nurse Practitioner 663 Lanier Park Drive, Gainesville, GA 30501 2018-11-27
1578068359 Soammy Liz Matias Chiropractor 961 Green Street, Gainesville, GA 30501 2018-03-26
1811496896 Matthew Brown Speech-Language Pathologist 500 Spring St. Se Suite 101, Gainesville, GA 30501 2018-02-06
1346769825 Dr. Skeete & Associates of North Georgia, P.C. Optometrist 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 2017-09-15
1932624723 M & B Imaging, PC Radiology 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 2017-08-14
Find all providers in zip 30501

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851908446 Jade Asante-selby Nurse Practitioner 3030 Mcever Rd Ste 130, Gainesville, GA 30504-5538 2020-09-28
1295349405 Mildred K Myrtil Nurse Practitioner 3754 Nw 54th Ln, Gainesville, FL 32653-0859 2020-09-04
1821608712 Talia Rose Maschino Nurse Practitioner 1430 Se 51st St, Gainesville, FL 32641-1962 2020-08-05
1760006282 Chariza Parsons Lopez Nurse Practitioner 8340 Nw 51st St, Gainesville, FL 32653-6182 2020-06-01
1255961017 Whitney Necole Mcneely Nurse Practitioner 3009 Sw Williston Rd, Gainesville, FL 32608-3928 2020-01-21
1255961249 Jared David Mincey Nurse Practitioner 10405 Sw 122nd St, Gainesville, FL 32608-5843 2020-01-19
1346870565 Emily Grace Holbrook Nurse Practitioner 650 Crestview Ter, Gainesville, GA 30501-3110 2020-01-16
1205487659 Grace M Walker Brown Nurse Practitioner 592 Medical Park Dr., Suite A, Gainesville, GA 30501 2019-09-26
1124676218 Fasika T Enyew Nurse Practitioner 1870 Atlanta Hwy, Gainesville, GA 30504-5948 2019-08-31
1821641416 Julie Tiegs Nurse Practitioner 5431 Little River Cir, Gainesville, GA 30506-3191 2019-07-22
Find all providers in GAINESVILLE

Competitor

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City GAINESVILLE
Zip Code 30501

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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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