Jackie Maryline Bassong, FNP-C, FNP-BC
Nurse Practitioner, Family in Kennesaw, GA. Individual provider (NPI-1).
NPI number1477296366
StatusActive
Last updated in NPPESJun 19, 2026
Details
- NPI
- 1477296366
- Entity type
- Individual (NPI-1)
- Name
- Jackie Maryline Bassong
- Credential
- FNP-C, FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2022
- Certification date
- Jun 19, 2026
- Last updated
- Jun 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN-NP279714 | GA | Yes |
Practice location
2782 N Cobb PkwyKennesaw, GA 30152-3472
Phone 866-389-2727
Mailing address
2782 N Cobb PkwyKennesaw, GA 30152-3472
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Nurse Practitioner providers in Kennesaw, GA
- Marijane Abeyta, NPNPI 1548840770
- Opeoluwa Adenuga, FAMILY NURSE PRACTNPI 1518453349
- Wendy Daniels Allard, NP-CNPI 1124488135
- Gloria B AmuNPI 1841871001
- Adelaide AsherNPI 1760097323
- McKenzie Lynn BanksNPI 1730776410
- Jean Bastia, FNPNPI 1932561164
- Megan Turpin Bell, NPNPI 1760946511
- Sally N Bell, NP-CNPI 1437411519
- Ivy Black, C-NPNPI 1104571462
All 97 Family Nurse Practitioner providers in Kennesaw · All 2,326 providers in Kennesaw
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.