JAN T NODINE


Address: 1561 Tappan Spur Rd, Watkinsville, GA 30677-3845
Phone: 7062471436

JAN T NODINE (NPI# 1548445091) 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) 1548445091
Entity Type Individual
Full Name JAN T NODINE
Other Name JAN T NODINE
Credential PMHCNS-BC
Practice Address 1561 Tappan Spur Rd
Watkinsville
GA 30677-3845
Practice Telephone 7062471436
Mailing Telephone 7062471436
Enumeration Date 2008-01-03
Last Update Date 2010-10-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0809X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Adult
140654 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1561 TAPPAN SPUR RD
City WATKINSVILLE
State GA
Zip Code 30677-3845

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1669071478 Brenda Gerai James Behavior Technician 1272 Virgil Langford Rd, Ste 101, Watkinsville, GA 30677 2020-10-22
1881292597 Chloe Wise Specialist/Technologist 360 Caduceus Way Building 600 - Suite 101., Watkinsville, GA 30677 2020-10-14
1912518531 Samuel S Kwon - Athens Dmd PC Dentist 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 2020-08-17
1972131977 Hopebridge LLC Behavioral Analyst 1272 Virgil Langford Road, Suite 101, Watkinsville, GA 30677 2020-03-27
1306479068 Meggan Brittany Reed Counselor 1550 Jennings Mill Rd, Suite 1700b, Watkinsville, GA 30677 2020-02-20
1699322040 Christopher's Bridge, LLC In Home Supportive Care 3651 Mars Hill Rd, Suite 1600, Watkinsville, GA 30677 2019-08-21
1093209538 Haley Bauguss Physician Assistant 1624 Mars Hill Road, Suite B, Watkinsville, GA 30677 2018-06-19
1134618317 Amanda Burns Denson Nurse Practitioner 1181 Langford Drive, Building 300, Suite 104, Watkinsville, GA 30677 2018-05-03
1780105528 Inspiring Hospice Partners of Georgia LLC Hospice Care, Community Based 1252 Virgil Langford Rd, Watkinsville, GA 30677 2017-07-01
1750753182 Zachary Russell Orthopaedic Surgery 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 2015-10-26
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Taxonomy Information

Taxonomy Code 364SP0809X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346638285 Robin Raiken Bledsoe Clinical Nurse Specialist 458 Ponce De Leon Ave Ne, Atlanta, GA 30308-1836 2014-12-30
1932529021 Dorothy Rainey Clinical Nurse Specialist 2553 Fieldstone Dr Se, Conyers, GA 30013-1945 2014-04-16
1245571082 Deborah A. Becker Clinical Nurse Specialist 205 Dental Dr Ste 3, Warner Robins, GA 31088-8210 2013-03-04
1295062289 Jane A. Frederick Clinical Nurse Specialist 1100 S Marietta Pkwy Se # Md9004, Marietta, GA 30060 2009-11-11
1770791337 Jane Ellen Welch Clinical Nurse Specialist 1501 Kalamazoo Dr # A, Griffin, GA 30224-3919 2007-05-18
1720104102 Kelly West Gilfillan Clinical Nurse Specialist 700 Highway 341 S, Barnesville, GA 30204-3470 2007-03-21
1457822348 Cathy Mcelveen Billiter Clinical Nurse Specialist 1 Freedom Way # 26, Augusta, GA 30904-6258 2018-12-17
1366797391 Julie Inez Burke Clinical Nurse Specialist 690 Dallas Hwy, Suite 201, Villa Rica, GA 30180-1264 2012-07-16
1497035380 Dene Ruth Bellamy Clinical Nurse Specialist 3073 Panthersville Road, Decatur, GA 30034 2011-08-23
1972816726 Scott Nelson Howell Clinical Nurse Specialist 1763 Fernside Dr, Toccoa, GA 30577-8095 2010-07-22
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Competitor

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City WATKINSVILLE
Zip Code 30677

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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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