Jennifer Lee King, FNP-BC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RN221090 Issued in GA

Practice address

32 Johnson Dr
Lol
Braselton, GA 30517-2774

Phone

(706) 684-0777

NPI assigned

Nov 12, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1386112936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 OLD COLLINS RD",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305486500",
            "telephone_number": "706-362-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 JOHNSON DR",
            "address_2": "LOL",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305172774",
            "telephone_number": "706-684-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1097 Old Collins Rd",
            "address_purpose": "LOCATION",
            "city": "Hoschton",
            "state": "GA",
            "postal_code": "305486500",
            "country_code": "US",
            "telephone_number": "706-362-1351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN221090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Kaye Kemp, FNP-C
• Frederica Kennedy, OTR/L, OTD
• Katherine Elaine Kessler
• Zainab Khan, MD
• Eun Hye Kim, RN
• Pavani Kolakalapudi, MD
• Naga V a Kommuri, MD
• Bryan Tyrone Korb, M.D.
• Nithin C Kurra, MD
• Olawumi P Kuteyi, PHARMD

• Family Medicine Physician in Braselton, GA
• Providers in Braselton, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.