Jessica A Etzkorn (NPI# 1275903981, PAC ID# 8729389069) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1275903981 |
| PAC ID by PECOS | 8729389069 |
| Professional Enrollment ID | I20151210002245 |
| Full Name | Jessica A Etzkorn |
| Organization Legal Name | GWINNETT CLINIC,LTD |
| Address |
475 Philip Blvd Suite 100 Lawrenceville GA 30046-8736 |
| Phone Number | 7709953300 |
| Gender | F |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9436061801 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4580 Nelson Brogdon Blvd, Buford, GA 30518-3478 | 7708316703 | GWINNETT CLINIC,LTD |
| 3068 Old Norcross Rd, Duluth, GA 30096-4914 | 7709257232 | GWINNETT CLINIC,LTD |
| 3490 Pleasant Hill Rd, Duluth, GA 30096-3188 | 7708142870 | GWINNETT CLINIC,LTD |
| 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 | 7709953300 | GWINNETT CLINIC,LTD |
| 455 Beaver Ruin Rd Nw, Lilburn, GA 30047-3413 | 7709237778 | GWINNETT CLINIC,LTD |
| Organization Legal Name | GWINNETT CLINIC,LTD |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deep Jayendrakumar Shah | Internal Medicine | Gwinnett Clinic,ltd | 2650 Lawrenceville Suwanee Rd, Suite B, Suwanee, GA 30024-2535 |
| Anthony Pothoulakis | Cardiovascular Disease (cardiology) | Gwinnett Clinic,ltd | 1289 Scenic Hwy, Lawrenceville, GA 30045-6358 |
| Asha Jayendrakumar Shah | Internal Medicine | Gwinnett Clinic,ltd | 4870 Lawrenceville Hwy, Tucker, GA 30084-2952 |
| Raja Ram | Family Medicine | Gwinnett Clinic,ltd | 2327 Hwy 29, Dacula, GA 30019-2205 |
| Gabriel Nguena | Internal Medicine | Gwinnett Clinic,ltd | 5595 Peachtree Pkwy, Norcross, GA 30092-2551 |
| Ned B Armstrong | Orthopedic Surgery | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Min-jie Tan | Internal Medicine | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Nishith H Oza | Physical Therapy | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Ashlyn Ciara Clay | Nurse Practitioner | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Richard Bernard Goodjoin | Internal Medicine | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Street Address |
475 PHILIP BLVD SUITE 100 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip | 30046-8736 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ned B Armstrong | Orthopedic Surgery | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Min-jie Tan | Internal Medicine | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Nishith H Oza | Physical Therapy | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Kerry H Metcalf | Certified Registered Nurse Anesthetist (crna) | 475 Philip Blvd, Suite 304, Lawrenceville, GA 30045-8732 | |
| Ashlyn Ciara Clay | Nurse Practitioner | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Richard Bernard Goodjoin | Internal Medicine | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Shveta Shah Raju | Internal Medicine | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Kayla Glenn Rosenberg | Nurse Practitioner | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Savita Y Joshi | Family Medicine | Gwinnett Clinic,ltd | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30046-8736 |
| Bhuvanendram Indrakrishnan | Gastroenterology | 475 Philip Blvd, Suite 304, Lawrenceville, GA 30046-8732 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chundra Brooks | Nurse Practitioner | Aga Professional Services LLC | 301 Phillip Blvd, Suite A, Lawrenceville, GA 30046 |
| Gail S Hammond | Clinical Social Worker | 295 S Culver St, Suite A, Lawrenceville, GA 30046-3239 | |
| Kenneth L Knight | Clinical Social Worker | 295 S Culver St, Suite A, Lawrenceville, GA 30046-3239 | |
| Robert W Stevens | Chiropractic | 368 W Pike St, Suite 202, Lawrenceville, GA 30046-3240 | |
| Mehdi Kazemzadeh | Optometry | 575 Professional Dr, Suite 100, Lawrenceville, GA 30046-3300 | |
| Raymond L Stovall | Internal Medicine | 575 Professional Dr, Suite 310, Lawrenceville, GA 30046-3300 | |
| Jeffrey D Zwiren | Plastic and Reconstructive Surgery | Gwinnett Physician Group,llc | 100 Medical Ctr Blvd, Suite 165, Lawrenceville, GA 30046-3301 |
| Kelly H Scoggins | Nurse Practitioner | Gwinnett Physician Group,llc | 100 Medical Ctr Blvd, Suite 165, Lawrenceville, GA 30046-3301 |
| Pamela A Boyd | Nurse Practitioner | Gastroenterology Specialists of Gwinnett, P.C. | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 |
| William G Tanner Jr. | Gastroenterology | Gastroenterology Specialists of Gwinnett, P.C. | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 |
| Find all physicians in zip 30046 | |||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAWRENCEVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jessica A Etzkorn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.