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).
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 |
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 |
Street Address |
1561 TAPPAN SPUR RD |
City | WATKINSVILLE |
State | GA |
Zip Code | 30677-3845 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Find all providers in zip 30677 |
Taxonomy Code | 364SP0809X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | WATKINSVILLE |
Zip Code | 30677 |
Please comment or provide details below to improve the information on JAN T NODINE.
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.