P Praxis·MD
● Active Type 1 · Individual

MRS. Jessica R Coburn, FNP-C

Nurse Practitioner·Cartersville, GA· NPI 1245871763 · Enumerated 2019 · 6 years on NPI
Coburn is 1 of 54 nurse practitioner providers in Cartersville and 1 of 8826 in Georgia.
NPI age
6 years
Enumerated 2019-10-06
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-10-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
6 years
≈ at median (7 yr)
State licenses
2 states
Top 92% — 8% of peers are multi-state
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-10Enumerated in NPPES
2019 2026

Where they practice

Practice location
100 Market Place Blvd Ste 301
Cartersville, GA 301218717
📞 6782904817
Mailing address
1452 Chester Harris Dr N
Dallas, GA 301320368

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN330929SC license #23255 taxonomy 363LF0000X

Identifiers

TypeValueNotes
05 (SC) PG1120
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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