ANGELA COUSSONS-DYCHES (NPI# 1952454720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952454720 |
| Entity Type | Individual |
| Full Name | ANGELA COUSSONS-DYCHES |
| Credential | FNP |
| Practice Address |
0404 Forest Dr Statesboro GA 30460-0001 |
| Mailing Address |
Po Box 5199 Abilene TX 79608-5199 |
| Practice Telephone | 9126815641 |
| Practice Fax Number | 9128711893 |
| Mailing Telephone | 3254378335 |
| Mailing Fax Number | 3254378390 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN135671 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
0404 FOREST DR |
| City | STATESBORO |
| State | GA |
| Zip Code | 30460-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518010230 | Constance E Morgan | Nurse Practitioner | 0404 Forest Dr, Statesboro, GA 30460-0001 | 2007-01-18 |
| 1215080072 | Penelope B Collins | Nurse Practitioner | 0404 Forest Dr, Statesboro, GA 30460-0001 | 2007-01-18 |
| 1134272966 | Mae F Anderson | Nurse Practitioner | 0404 Forest Dr, Statesboro, GA 30460-0001 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760589683 | Andrea Elizabeth Bethel | Optometrist | 984 Plant Dr, Statesboro, GA 30460 | 2006-09-20 |
| 1699140855 | Amy Luna | Psychologist | 788 Forest Dr, Statesboro, GA 30460-0001 | 2015-12-14 |
| 1437559333 | Catherine Mcculley | Student in an Organized Health Care Education/Training Program | 590 Herty Dr, Statesboro, GA 30460-0001 | 2014-08-27 |
| 1851621080 | Shannon Kay Salter Fussell | Psychologist | Forest Dr, Counseling and Career Development Center, Statesboro, GA 30460-0001 | 2010-01-11 |
| 1255575890 | Georgia Southern University School of Nursing Community Nursing Center | Clinic/Center | 250 Forrest Dr, Rm# 1004, Statesboro, GA 30460-0001 | 2009-04-27 |
| 1194924449 | Thomas Andrew Buckley | Specialist/Technologist | Georgia Southern University, Health & Kinesiology, Statesboro, GA 30460-0001 | 2007-07-17 |
| 1831310721 | Brant Douglas Berkstresser | Specialist/Technologist | 50 Herty Dr, Hanner Fieldhouse, Georgia Southern University, Statesboro, GA 30460-0001 | 2007-05-01 |
| 1376764340 | Brandy Anne Petty | Physical Medicine & Rehabilitation | Georgia Southern University Hanner Fieldhouse, Herty Drive, Statesboro, GA 30460-0001 | 2007-05-01 |
| 1770670259 | Catherine K Dickens | Specialist | 0404 Forrest Dr, Georgia Southern University Health Services, Statesboro, GA 30460-0001 | 2006-10-06 |
| 1720187602 | Forest Heights Phcy Inc | Pharmacy | Hlth Svcs Bldg, Watson Hall, Statesboro, GA 30460-0001 | 2006-09-21 |
| Find all providers in zip 30460 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014425 | Heather Sumner Herrin | Nurse Practitioner | 3024 Mccall Blvd, Statesboro, GA 30461-4919 | 2020-05-17 |
| 1235759895 | Health and Wellness PC | Nurse Practitioner | 1303 Sunset Cir, Statesboro, GA 30458-1575 | 2020-04-23 |
| 1619434917 | Kathryn Lynn Bowen-williams | Nurse Practitioner | 1800 Js Nesmith Rd, Statesboro, GA 30458-3613 | 2019-02-23 |
| 1306337332 | Phyllis Evon Solomon | Nurse Practitioner | 930 Teepee Way, Statesboro, GA 30461-6786 | 2018-05-25 |
| 1588185904 | Erica B Lanier | Nurse Practitioner | 5219 Williams Rd, Statesboro, GA 30458-0122 | 2017-07-06 |
| 1053849174 | Julie Laing Giardina | Nurse Practitioner | 7251 Zell Miller Pkwy, Statesboro, GA 30458-3487 | 2017-06-02 |
| 1700259108 | Melissa Beasley | Nurse Practitioner | 450 Georgia Ave Ste B, Statesboro, GA 30458-5590 | 2015-11-06 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1720428055 | Beverly B. Smith | Nurse Practitioner | 2331 Franklin Rd, Statesboro, GA 30461-7584 | 2013-07-01 |
| 1295081685 | Alan W Skipper | Nurse Practitioner | 127 N College St, Statesboro, GA 30458-5387 | 2012-08-03 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30460 |
Please comment or provide details below to improve the information on ANGELA COUSSONS-DYCHES.
| 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.