| Jordan Edward Nutt, NP-C | |
|
510 Ruby Forest Pkwy, Suwanee, GA 30024-3930 | |
| (770) 654-2171 | |
| Not Available |
| Full Name | Jordan Edward Nutt |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 510 Ruby Forest Pkwy, Suwanee, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871961847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN172181 (Georgia) | Primary |
| Entity Name | Emerginet, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164480869 PECOS PAC ID: 4082515853 Enrollment ID: O20040115000322 |
| Entity Name | Emerginet Henry, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811946627 PECOS PAC ID: 4981594900 Enrollment ID: O20040316000137 |
| Entity Name | Northside Emergency Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285686303 PECOS PAC ID: 9335135144 Enrollment ID: O20040426000165 |
| Entity Name | Walker Lake Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437629342 PECOS PAC ID: 0840531919 Enrollment ID: O20190418001186 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Edward Nutt, NP-C 510 Ruby Forest Pkwy, Suwanee, GA 30024-3930 Ph: (770) 654-2171 | Jordan Edward Nutt, NP-C 510 Ruby Forest Pkwy, Suwanee, GA 30024-3930 Ph: (770) 654-2171 |
Lindsey Nye Davis, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6918 Mcginnis Ferry Rd, Suwanee, GA 30024 Phone: 770-622-5758 | |
Ms. Kimberly Erika Dowe, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 185 Old Peachtree Rd Nw, Suwanee, GA 30024 Phone: 678-937-0300 Fax: 678-405-1660 | |
Karen Elizabeth Dunmire, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6918 Mcginnis Ferry Rd Ste 200, Suwanee, GA 30024 Phone: 770-622-5758 | |
Linda Esosa Uwakwe, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5215 Corbin Ct, Suwanee, GA 30024 Phone: 404-567-9442 | |
Amauwia Okivie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 961 Heathchase Dr, Suwanee, GA 30024 Phone: 678-463-5695 | |
Courtney Esperanza Espina, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1120 Peachtree Industrial Blvd Ste 201, Suwanee, GA 30024 Phone: 470-326-5560 | |
Jasmine Rose Ling Duan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4235 Johns Creek Pkwy Ste A, Suwanee, GA 30024 Phone: 678-402-9550 Fax: 675-802-5765 |