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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 codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN-NP279714GAYes

Practice location

2782 N Cobb Pkwy
Kennesaw, GA 30152-3472

Phone 866-389-2727

Mailing address

2782 N Cobb Pkwy
Kennesaw, GA 30152-3472

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