MRS. JEAN NORRELL-ZIMMERLY KLOCK NP NPI 1275313884

NPI Information

  • NPI: 1275313884
  • Provider Name: MRS. JEAN NORRELL-ZIMMERLY KLOCK, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3950 AUSTELL RD
    AUSTELL, GA
    ZIP 30106
  • Phone: (706) 863-9595

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NPI Details

MRS. Jean Norrell-zimmerly Klock, NP is a family nurse practitioner in Austell, GA with 2 years of experience. MRS. Jean Norrell-zimmerly Klock, NP NPI is 1275313884. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3950 AUSTELL RD
AUSTELL, GA
ZIP 30106-121
Phone: (706) 863-9595
Fax: (706) 868-8375

The NPI 1275313884 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2023 and was last updated on 10/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN324203GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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