MRS. JENNIFER SUZANNE CANTRELL CPNP NPI 1902032915

NPI Information

  • NPI: 1902032915
  • Provider Name: MRS. JENNIFER SUZANNE CANTRELL, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 1862 AUBURN RD
    SUITE 107
    DACULA, GA
    ZIP 30019
  • Phone: (678) 288-4142

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NPI Details

MRS. Jennifer Suzanne Cantrell, CPNP is a pediatrics nurse practitioner in Dacula, GA. MRS. Jennifer Suzanne Cantrell, CPNP NPI is 1902032915. 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:

1862 AUBURN RD
SUITE 107
DACULA, GA
ZIP 30019-676
Phone: (678) 288-4142

The enumeration date for this NPI number is 6/4/2009 and was last updated on 6/18/2014.

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
1363LP0200XNurse PractitionerPediatricsRN166999NPGEORGIAYes

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: 11/21/2025

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