Jackie Maryline Bassong, FNP-C, FNP-BC - Family Medicine in Atlanta, GA

Jackie Maryline Bassong, FNP-C, FNP-BC is a Family Medicine physician based in Atlanta, Georgia. Jackie Maryline Bassong is licensed to practice in Georgia (license number RN279714) and her current practice location is 8 Perimeter Ctr E Apt 1414, Atlanta, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 628-2500.

NPI number for Jackie Maryline Bassong is 1477296366 and her current mailing address is 170 Dunagan Dr, Lawrenceville, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477296366.

Contact Information

Jackie Maryline Bassong, FNP-C, FNP-BC
8 Perimeter Ctr E Apt 1414,
Atlanta, GA 30346-1676
(770) 628-2500
(770) 628-2550



Physician's Profile

Full NameJackie Maryline Bassong
GenderFemale
SpecialityFamily Medicine
Location8 Perimeter Ctr E Apt 1414, Atlanta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1477296366
  • Provider Enumeration Date: 04/18/2022
  • Last Update Date: 12/22/2023

Medical Identifiers

Medical identifiers for Jackie Maryline Bassong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477296366NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine RN279714 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackie Maryline Bassong is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jackie Maryline Bassong, FNP-C, FNP-BC
170 Dunagan Dr,
Lawrenceville, GA 30045-9017

Ph: () -
Jackie Maryline Bassong, FNP-C, FNP-BC
8 Perimeter Ctr E Apt 1414,
Atlanta, GA 30346-1676

Ph: (770) 628-2500

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Family Medicine Doctors in Atlanta, GA

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David M Williams, M.D.
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Phone: 770-457-5556    Fax: 770-457-7776
Zahidul Islam Chowdhury, M.D.
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Phone: 404-658-9840    Fax: 404-658-9846

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