Active NPI
Jazzmine Jorden
- Primary Care Nurse Practitioner
- Duluth, GA
National Provider Identifier
1851039291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- RN284472
- Practice address
- 3625 Savannah PL
Duluth, GA 30096-6376 - Phone
- (770) 707-4018
- NPI assigned
- May 25, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN284472 | GA | |
| Primary Care Nurse Practitioner | 363LP2300X | RN284472 | GA | Primary |
Addresses
Primary practice location
3625 Savannah PL
Duluth, GA 30096-6376
Mailing address
PO Box 1612
Stockbridge, GA 30281-8612
Phone (770) 815-0663
Other practice location 1
1520 Clifton Rd NE
Atlanta, GA 30322-4201
Phone (404) 727-7980
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN284472 | GA | MD | Primary Care Nurse Practitioner |
Interoperability endpoints
- jazzmine.jorden.1@8042.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1851039291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1612",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302818612",
"telephone_number": "770-815-0663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 SAVANNAH PL",
"city": "DULUTH",
"state": "GA",
"postal_code": "300966376",
"telephone_number": "770-707-4018"
}
],
"practiceLocations": [
{
"address_1": "1520 Clifton Rd NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303224201",
"country_code": "US",
"telephone_number": "404-727-7980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JORDEN",
"first_name": "JAZZMINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-25",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "RN284472",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "GA",
"license": "RN284472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.