Jennifer Lynn Bartlett, MSN, APRN, CPNP-PC
Individual provider Active NPI Pediatric Nurse Practitioner · Clermont, GA
NPI 1124832282 · NPPES record last updated Feb 6, 2025
Key facts
- NPI
- 1124832282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- RN174815 (GA)
- Practice address
- 5226 Dahlonega Hwy Ste 3
Clermont, GA 30527-1946 - Phone
- (770) 530-3342
- Fax
- (770) 530-3342
- NPI assigned
- Feb 6, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN174815 | GA | MD | Pediatric Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN174815 | GA | Yes |
Addresses
Primary practice location
5226 Dahlonega Hwy Ste 3
Clermont, GA 30527-1946
Mailing address
5314 Parkside TRL
Flowery Branch, GA 30542-5189
Phone (678) 939-9704
Other providers in Clermont, GA
- Chloe Barrett
- Theresa Barrett
- Jordan Benfield
- Anna Matthews Black
- Alyssa Brooksher
- Theda Burchardt
- James L. Cannon
All providers in Clermont, GA · Pediatric Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.