BREIANE JACKSON (NPI# 1326647199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326647199 |
| Entity Type | Individual |
| Full Name | BREIANE JACKSON |
| Other Name | BREIANE HATCHETT |
| Credential | LICENSED CPHT |
| Practice Address |
2790 Cobb Pkwy Nw Kennesaw GA 30152-3455 |
| Mailing Address |
4624 Unicorn Pt Powder Springs GA 30127-5374 |
| Practice Telephone | 7707931838 |
| Mailing Telephone | 7703611315 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | PHTC051863 | GA | Pharmacy Service Providers |
| Street Address |
2790 COBB PKWY NW |
| City | KENNESAW |
| State | GA |
| Zip Code | 30152-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821647124 | Ashley Dover | Nurse Practitioner | 1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152 | 2019-09-09 |
| 1205306891 | Lashanda Denise Moore | Nurse Practitioner | 1600 Kennesaw Due West Rd Nw #205, Kennesaw, GA 30152 | 2018-11-27 |
| 1265901094 | Focused Loving Home Care Services LLC | In Home Supportive Care | 2151 Marne Glen Nw, Kennesaw, GA 30152 | 2018-11-22 |
| 1083199152 | Raven Ashley Thomas | Behavioral Analyst | 1619 Collins Rd Nw Ste 500, Kennesaw, GA 30152 | 2018-09-25 |
| 1821592593 | Eseovhe Egborge PC | Clinic/Center | 1600 Kennesaw Due West Rd Nw Ste 205, Kennesaw, GA 30152 | 2018-03-19 |
| 1184143059 | Kennesaw Mountain Dental Associates | Dentist | 1815 Old 41 Hwy, Ste 310, Kennesaw, GA 30152 | 2017-09-12 |
| 1265955983 | Deborah Ruth Stern Compton | Registered Nurse | 1291 Stanley Rd., Kennesaw, GA 30152 | 2017-07-25 |
| 1912452939 | Mak Anesthesia Holdings LLC | Anesthesiology | 1300 Ridenour Blvd., Ste. 300, Kennesaw, GA 30152 | 2016-08-19 |
| 1528430279 | Tineka Nichol Wyckoff | Counselor | 1967 Lake Heights Circle, Kennesaw, GA 30152 | 2015-10-21 |
| 1669753992 | American Current Care Pa | Clinic/Center | 2953 Cobb Parkway, Suite 400, Kennesaw, GA 30152 | 2011-08-31 |
| Find all providers in zip 30152 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791732 | Anita H Smith | Pharmacy Technician | 286 Gibbs St, Homerville, GA 31634-2538 | 2020-08-20 |
| 1134730641 | Meghan Xanthe Baker | Pharmacy Technician | 3530 Wellington Ter, Rex, GA 30273-2361 | 2020-08-10 |
| 1669081352 | Steve Lavon Bell | Pharmacy Technician | 1608 Battlecreek Village Dr, Jonesboro, GA 30236-8530 | 2020-07-28 |
| 1235747650 | Marquitta Becker | Pharmacy Technician | 2917 Red Leaf Ct, Conyers, GA 30094-8028 | 2020-07-22 |
| 1922620228 | Jennifer Lamb | Pharmacy Technician | 175 Pebble Ridge Dr, Covington, GA 30014-8456 | 2020-05-11 |
| 1164073334 | Ebony Jackson | Pharmacy Technician | 145 Emanuel Farm Rd Lot 77, Brunswick, GA 31525-2469 | 2019-09-27 |
| 1023578887 | Kimber Hardy | Pharmacy Technician | 1547 Loco Church Rd, Lincolnton, GA 30817 | 2019-03-20 |
| 1700355989 | Renita D Lofton | Pharmacy Technician | 1371 Kimberly Way Sw Apt 7203, Atlanta, GA 30331-4643 | 2018-11-17 |
| 1083198840 | Michele Eilleen Dews | Pharmacy Technician | 4457 Township Dr # 12a, Oakwood, GA 30566-3299 | 2018-09-18 |
| 1982096178 | Ly-huong Nguyen | Pharmacy Technician | 4501 Anderson Rd, Stone Mountain, GA 30083-2501 | 2015-02-24 |
| Find all providers with the same taxonomy | ||||
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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.