Jill Melaine Patrick
Nurse Practitioner - Neonatal
50 Plaza Way Nw Ste E
Marietta
, Georgia 30060-1141
Jill Melaine Patrick
Nurse Practitioner - Neonatal
50 Plaza Way Nw Ste E
Marietta
, Georgia 30060-1141
(770) 235-2462
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Jill Melaine Patrick
- 4295 Country Garden Walk Nw
- Kennesaw, GA
- Zip : 30152-2399
- Phone : (770) 235-2462
Second Address
- Jill Melaine Patrick
- 50 Plaza Way Nw Ste E
- Marietta, GA
- Zip : 30060-1141
- Fax : (770) 974-3955
- Phone : (770) 732-5101
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | RN128940 | GA |
National Provider Identifier
| NPI | 1114290764 |
|---|---|
| Provider Name | Jill Melaine Patrick |
| First Address | Kennesaw, GA 30152-2399 |
| Second Address | Marietta, GA 30060-1141 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/02/2012 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 003130618A | (05) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.