Jade Asante-Selby, NP-C
Individual provider Active NPI Family Nurse Practitioner · Dacula, GA
NPI 1851908446 · NPPES record last updated Aug 23, 2021
Key facts
- NPI
- 1851908446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN271129 (GA)
- Practice address
- 3027 Jim Moore Rd
Dacula, GA 30019-1144 - Phone
- (770) 339-0129
- NPI assigned
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN271129 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Willow Pediatrics | Past |
Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN271129 | GA | Yes |
Addresses
Primary practice location
3027 Jim Moore Rd
Dacula, GA 30019-1144
Mailing address
3027 Jim Moore Rd
Dacula, GA 30019-1144
Phone (770) 339-0129
Other practice location 1
3030 McEver Rd Ste 130
Gainesville, GA 30504-5538
Phone (678) 450-0747
Other providers in Dacula, GA
- Anacaona Nedge Antoine
- Weks Wekongho Anyu-Chita
- Rami Badr Arfoosh
- Leona Beth Arnold
- Amaka Gloria Asaije
- Jordan Ashford
- Lyna Ashu
- Ana C Asis
- Atlanta Wound Care Specialist, LLC
- Atlanta'S Elite Home Care LLC
All providers in Dacula, GA · Family 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 Aug 23, 2021. 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.