MARY JANE CLEGHORN (NPI# 1871099036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871099036 |
| Entity Type | Individual |
| Full Name | MARY JANE CLEGHORN |
| Credential | RN |
| Practice Address |
5563 Concord Cir Gainesville GA 30507-8704 |
| Practice Telephone | 7705302137 |
| Mailing Telephone | 7705302137 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN106126 | GA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 90M0619454 | 05 |
| Street Address |
5563 CONCORD CIR |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30507-8704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316325525 | Jannet Smith | Case Management | 3407 Belmont Heights Drive, Gainesville, GA 30507 | 2015-05-08 |
| 1134526619 | On-site Rx, Inc | Pharmacy | 2435 Old Cornelia Hwy., Gainesville, GA 30507 | 2014-11-26 |
| 1467766428 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 2912 Evergreen Hollow Drive, Gainesville, GA 30507 | 2010-08-02 |
| 1134341522 | Dorothy A Gabrels | Nurse Practitioner | 2200 Old Hamilton Place Ne, Gainesville, GA 30507 | 2007-05-03 |
| 1386861565 | Jennifer Jean Workman | Registered Nurse | 1280 Athens Street, Gainesville, GA 30507 | 2007-04-19 |
| 1801918750 | Hall County Board of Health | Nurse Practitioner | 1290 Athens Street, Gainesville, GA 30507 | 2007-04-04 |
| 1033101357 | Philip O. Kimsey | Family Medicine | 1292 Athens St, Gainesville, GA 30507 | 2005-08-23 |
| 1619213626 | Georgia Mountain Community Partners | Day Training, Developmentally Disabled Services | 2059 Garden Rd, Gainesville, GA 30507-5019 | 2012-12-19 |
| 1538146113 | Mimbs Drug Co. | Pharmacy | 2415-f Old Cornelia Highway, Gainesville, GA 30507-6901 | 2005-12-27 |
| 1396747705 | Craig Mitchell Inglis | Dentist | 1290 Athens St, Hall County Health Department, Gainesville, GA 30507-7000 | 2005-08-15 |
| Find all providers in zip 30507 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104015767 | Jeanne Duffin | Registered Nurse | 1601 Sw Archer Ave, Gainesville, FL 32608-1197 | 2007-10-19 |
| 1346625241 | Lori Ann Hardcastle | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2015-07-21 |
| 1982018495 | Miski Horner | Registered Nurse | 620 Nw 16th Ave, Gainesville, FL 32601-4034 | 2014-06-12 |
| 1639596596 | Myra Jammer | Registered Nurse | 4300 Sw 13th Street, Gainesville, FL 32608 | 2014-03-27 |
| 1376879429 | Susan Marie Straub | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2009-10-26 |
| 1386759611 | Marianne Prince | Registered Nurse | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2006-08-19 |
| 1659341196 | Anna B Schwait | Registered Nurse | 101 S. Newell Drive, Gainesville, FL 32611 | 2006-01-26 |
| 1962487348 | Linda D Gouthro | Registered Nurse | 101 S. Newell Drive, Gainesville, FL 32611 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1255895710 | Latane Diaz | Registered Nurse | 597 Brigham Trl, Augusta, GA 30909-6060 | 2019-01-29 |
| 1386097418 | Debra Zwemer | Registered Nurse | 4593 Hebbard Way, Evans, GA 30809-3811 | 2016-07-13 |
| 1760845267 | Cassandra Faye Milton | Registered Nurse | 2971 Gena Dr, Decatur, GA 30032-5706 | 2016-04-01 |
| 1336589183 | Mary Azar Pride | Registered Nurse | 30-b Lenox Pte. N.e., Bldg 30 - Suite B, Atlanta, GA 30324 | 2013-06-26 |
| 1710222450 | Cynthia M. Brown | Registered Nurse | 34 Peachtree St., N.w., Suite 77 Mhm, Atlanta, GA 30303 | 2012-12-06 |
| 1609107721 | Dorcas A Bolaji | Registered Nurse | 1231 Sweetgum Trl, Conyers, GA 30012-3593 | 2010-01-29 |
| 1841521721 | Quality Care | Registered Nurse | 3021 Brook Ln, Rex, GA 30273-2434 | 2010-01-17 |
| 1447585898 | Beverly A Williams | Registered Nurse | 9490 Deer Crossing Dr, Jonesboro, GA 30236-5197 | 2009-10-02 |
| 1366775058 | Simple Care Solutions LLC | Registered Nurse | 235 Ponce De Leon Ave, Suite 225, Decatur, GA 30030-3488 | 2009-09-11 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 30507 |
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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.