COREEN MCPHERSON (NPI# 1669517470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669517470 |
| Entity Type | Individual |
| Full Name | COREEN MCPHERSON |
| Practice Address |
3905 Due West Rd Nw Marietta GA 30064-1019 |
| Practice Telephone | 6782093022 |
| Mailing Telephone | 6782093022 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2015-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN176645 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3905 DUE WEST RD NW |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952316481 | Judy T Cornwell | Nurse Practitioner | 3905 Due West Rd Nw, Marietta, GA 30064-1019 | 2006-07-31 |
| 1396268124 | Kristyn Gerrol | Nurse Practitioner | 3905 Due West Rd Nw, Marietta, GA 30064-1019 | 2017-07-24 |
| 1467804997 | Linda Adaeze Nwadike | Nurse Practitioner | 3905 Due West Rd Nw, Marietta, GA 30064-1019 | 2016-07-08 |
| 1639546963 | Bruce Coleman IIi | Pharmacist | 3905 Due West Rd Nw, Marietta, GA 30064-1019 | 2015-08-21 |
| 1306212626 | Magaly Wong | Pharmacist | 3905 Due West Rd Nw, Marietta, GA 30064-1019 | 2015-08-20 |
| 1700223922 | Patrice Michelle Cynthia Enyong | Nurse Practitioner | 3905 Due West Rd Nw, Marietta, GA 30064-1019 | 2013-05-29 |
| 1699054353 | Dana Prieto | Nurse Practitioner | 3905 Due West Rd Nw, Marietta, GA 30064-1019 | 2011-08-12 |
| 1548587462 | Nicole R Santelia | Nurse Practitioner | 3905 Due West Rd Nw, Marietta, GA 30064-1019 | 2010-05-02 |
| 1548382252 | Andrea Knowles | Nurse Practitioner | 3905 Due West Rd Nw, Marietta, GA 30064-1019 | 2007-04-04 |
| 1306965611 | Minuteclinic Diagnostic of Georgia LLC | Nurse Practitioner | 3905 Due West Rd Nw, Marietta, GA 30064-1019 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576931 | Dzintra Leblanc | Nurse Practitioner | 2583 Ballew Ct Ne, Marietta, GA 30062-4424 | 2020-10-19 |
| 1730786047 | Monique An-jel Rosser | Nurse Practitioner | 687 Johnson Ferry Rd # 7044, Marietta, GA 30068-4628 | 2020-10-08 |
| 1518564418 | Althea Bryan | Nurse Practitioner | 198 Rotherhithe Ln Nw, Marietta, GA 30066-3491 | 2020-10-04 |
| 1013523646 | Susan Wanjiku Kamau | Nurse Practitioner | 1579 Sage Ridge Dr, Marietta, GA 30064-5327 | 2020-09-18 |
| 1982217402 | Lisa Abbott | Nurse Practitioner | 580 Kurtz Rd, Marietta, GA 30066-5348 | 2020-08-25 |
| 1538796008 | Chinwe Christiana O'hara | Nurse Practitioner | 3079 Hidden Forest Ct Unit 3650, Marietta, GA 30066-3137 | 2020-03-25 |
| 1376197335 | Nicole I Crawford | Nurse Practitioner | 868 Cedar Rd, Marietta, SC 29661-9006 | 2019-07-29 |
| 1689138935 | Mobile Np, LLC | Nurse Practitioner | 1120 Heather Wood Ct, Marietta, GA 30062-2926 | 2019-01-30 |
| 1790258531 | Leslie Burns | Nurse Practitioner | 2910 Burnt Hickory Rd Nw, Marietta, GA 30064-1238 | 2019-01-04 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| Find all providers in MARIETTA | ||||
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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.