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EN BONNE SANTE CLINIC LLC
NPI 1952134512
Nurse Practitioner - Family in Mcdonough, GA

Active since August 20, 2024
17 HAMPTON ST STE F, MCDONOUGH, GA 30253(239) 443-8018 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 26, 2024, Sep 13, 2024, Aug 20, 2024 (3 updates tracked since 2024).

About En Bonne Sante Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EN BONNE SANTE CLINIC LLC (NPI 1952134512) is a healthcare organization registered as a family in Mcdonough, Georgia and active in the NPI registry since August 2024. The organization lists Jeanine Clark, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1952134512
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEN BONNE SANTE CLINIC LLC
Location Address17 HAMPTON ST STE FMcdonough, GA 30253-3159
Mailing Address17 Hampton St Ste FMcdonough, GA 30253-3159 · (239) 443-8018
Phone(239) 443-8018
Organization SubpartNo
Authorized OfficialJeanine ClarkNurse Practitioner · (239) 443-8018
Enumeration DateAugust 20, 2024
Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1952134512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
17 HAMPTON ST STE F, Mcdonough, GA 30253
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is En Bonne Sante Clinic LLC's NPI number?

The NPI number for En Bonne Sante Clinic LLC is 1952134512. It was assigned to this organization in the NPPES registry on August 20, 2024.

Where is En Bonne Sante Clinic LLC located?

En Bonne Sante Clinic LLC is located at 17 Hampton St Ste F, Mcdonough, GA 30253. The listed phone number is (239) 443-8018.

What is En Bonne Sante Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for En Bonne Sante Clinic LLC was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.