Jennifer Suzanne Cantrell, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN166999NP Issued in GA

Practice address

1862 Auburn Rd
Suite 107
Dacula, GA 30019-1676

Phone

(678) 288-4142

NPI assigned

Jun 4, 2009

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

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

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

• Cornerstone Pediatrics LLC

  • Pediatrics Physician
  • Dacula, GA
  • NPI 1295233211
  NPD (past) Authorized official
• Village Pediatrics, PC

  • Pediatrics Physician
  • Dacula, GA
  • NPI 1598101388
  NPD (past)

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1902032915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1862 AUBURN RD",
            "address_2": "SUITE 107",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191676",
            "telephone_number": "678-288-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1862 AUBURN RD",
            "address_2": "SUITE 107",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191676",
            "telephone_number": "678-288-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "JENNIFER",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN166999NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Cajuste
• Campbell Chiropractic, Inc.
• Charlie Campbell
• Chelsea Campbell, MS CCC-SLP
• Marcia Raylene Pritchett Campbell, D.C.
• Yadira Cardona-Rohena, D.M.D.
• Carey L. Norton, D.M.D., P.C.
• Tammy L Carloss
• Amanda Nicole Carloto, LCSW
• Carol Express Enterprises LLC

• Pediatric Nurse Practitioner in Dacula, GA
• Providers in Dacula, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.