JAMIE MARIE CONWELL
NPI 1255980926
Nurse Practitioner - Pediatrics in Kennesaw, GA
Active since September 05, 2019
About Jamie Marie Conwell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMIE MARIE CONWELL (NPI 1255980926) is an individual pediatrics provider in Kennesaw, Georgia, licensed in Georgia (RN220281) and active in the NPI registry since September 2019.
NPPES Registry Identity
NPI1255980926
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJAMIE MARIE CONWELL
Location Address1770 DENNIS KEMP LN NWKennesaw, GA 30152-3938
Mailing Address1770 Dennis Kemp Ln NwKennesaw, GA 30152-3938 · (205) 799-0778
Phone(707) 515-9000
Sole ProprietorYes
Enumeration DateSeptember 5, 2019
Last NPPES UpdateSeptember 9, 20192 updates tracked since enumeration
✔ NPI 1255980926 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · RN220281
1770 DENNIS KEMP LN NW, Kennesaw, GA 30152
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Primary Care)
1770 DENNIS KEMP LN NW
KENNESAW, GA 30152
KENNESAW, GA 30152
Nurse Practitioner (Pediatrics)
1770 DENNIS KEMP LN NW
KENNESAW, GA 30152
KENNESAW, GA 30152
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255980926, enumerated as an "individual" on September 05, 2019.
The provider is located at 1770 DENNIS KEMP LN NW KENNESAW, GA 30152 and the phone number is (707) 515-9000.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
