Individual provider Active NPI

Jessica Adrienne French, C.P.N.P.

  • Pediatric Nurse Practitioner
  • Statesboro, GA
National Provider Identifier
1619309937
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN232398 Issued in GA
Practice address
1044 Bermuda Run
Statesboro, GA 30458
Phone
(912) 871-4847
Fax
(912) 871-5562
NPI assigned
Aug 9, 2013
Last updated
Sep 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN232398 GA Primary

Addresses

Primary practice location

1044 Bermuda Run
Statesboro, GA 30458

Mailing address

1044 Bermuda Run
Statesboro, GA 30458-0858
Phone (912) 871-4847

Other practice location 1

1497 Fair Rd Ste 200
Statesboro, GA 30458
Phone (912) 871-4847

Other practice location 2

1005 Bellefontaine Ave
Suite 245
Lima, OH 45804-2851
Phone (419) 998-8230

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
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN232398GAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1619309937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 BERMUDA RUN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580858",
            "telephone_number": "912-871-4847",
            "fax_number": "912-871-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BERMUDA RUN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "912-871-4847",
            "fax_number": "912-871-5562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1497 Fair Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "30458",
            "country_code": "US",
            "telephone_number": "912-871-4847",
            "fax_number": "912-871-5562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Bellefontaine Ave",
            "address_2": "Suite 245",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458042851",
            "country_code": "US",
            "telephone_number": "419-998-8230",
            "fax_number": "419-998-8231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRENCH",
        "first_name": "JESSICA",
        "middle_name": "ADRIENNE",
        "credential": "C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-09",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN232398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.