Active NPI
Jessica Marie Denton, FNP
- Family Nurse Practitioner
- Chickamauga, GA
National Provider Identifier
1568075711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F03200047
- Practice address
- 1964 Johnson Rd
Chickamauga, GA 30707-3011 - Phone
- (423) 316-3666
- NPI assigned
- Aug 27, 2020
- Last updated
- May 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F03200047 | GA | Primary |
Addresses
Primary practice location
1964 Johnson Rd
Chickamauga, GA 30707-3011
Mailing address
1964 Johnson Rd
Chickamauga, GA 30707-3011
Phone (423) 316-3666
Other names 1
- Ms. Jessica Marie Holt
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessica_denton@memorial.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F03200047 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1568075711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1964 JOHNSON RD",
"city": "CHICKAMAUGA",
"state": "GA",
"postal_code": "307073011",
"telephone_number": "423-316-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1964 JOHNSON RD",
"city": "CHICKAMAUGA",
"state": "GA",
"postal_code": "307073011",
"telephone_number": "423-316-3666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENTON",
"first_name": "JESSICA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-27",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "F03200047",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jessica_denton@memorial.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "1964 Johnson Rd",
"city": "Chickamauga",
"state": "GA",
"country_code": "US",
"postal_code": "307073011",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "HOLT",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chickamauga, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.