MS. JENNIFER SABOURA


Address: 100 Lacy St Nw, Suite 150, Marietta, GA 30060-1271
Phone: 7707937639

MS. JENNIFER SABOURA (NPI# 1881987774) 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) 1881987774
Entity Type Individual
Full Name MS. JENNIFER SABOURA
Credential NP
Practice Address 100 Lacy St Nw
Suite 150
Marietta
GA 30060-1271
Practice Telephone 7707937639
Practice Fax Number 7707937645
Mailing Telephone 7707937639
Mailing Fax Number 7707937645
Enumeration Date 2011-05-25
Last Update Date 2011-05-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN168965 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 100 LACY ST NW
SUITE 150
City MARIETTA
State GA
Zip Code 30060-1271

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215926316 Rochelle Cotliar Physical Medicine & Rehabilitation 100 Lacy St Nw, Suite 150, Marietta, GA 30060-1113 2005-10-20
1174074371 Sara K Mauldin Nurse Practitioner 100 Lacy St Nw, Marietta, GA 30060 2016-10-23
1083907067 Wellstar Medical Group, LLC Physical Medicine & Rehabilitation 100 Lacy St Nw, Suite 150, Marietta, GA 30060-1271 2011-05-24
1225292733 Alexander Liaugminas Physical Medicine & Rehabilitation 100 Lacy St Nw, Suite 150, Marietta, GA 30060-1271 2008-07-14
1871756189 Maryann M Thrasher Registered Nurse 100 Lacy St Nw, Suite 150, Marietta, GA 30060-1271 2008-07-07
1760603757 Uduak Etim Saint Juste Nurse Practitioner 100 Lacy St Nw, Marietta, GA 30060-1271 2007-05-01
1760550008 Diane Wallace Epstein Physical Therapist 100 Lacy St Nw, Marietta, GA 30060-1271 2006-12-04
1780631630 Wellstar Rehab Medicine, LLC Physical Medicine & Rehabilitation 100 Lacy St Nw, Suite 150, Marietta, GA 30060-1113 2006-05-27
1376517037 Kathleen T Daskal Nurse Practitioner 100 Lacy St Nw, Suite 150, Marietta, GA 30060-1271 2006-02-17
1245229343 Vimala P Nair Physical Medicine & Rehabilitation 100 Lacy St Nw, Suite 150, Marietta, GA 30060-1113 2005-10-20
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NPI Name Taxonomy Address Enumeration
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1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City MARIETTA
Zip Code 30060

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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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