Individual provider · Type 1 NPI

Jackie Maryline Bassong, FNP-C, FNP-BC

Family Nurse Practitioner · Kennesaw, GA

NPI number 1477296366 Active

Practice location

2782 N Cobb Pkwy
Kennesaw, GA 30152-3472

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN-NP279714 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1477296366

Jackie Maryline Bassong, FNP-C, FNP-BC's National Provider Identifier is 1477296366, issued on Apr 18, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kennesaw, GA. The record was last updated on Jun 19, 2026.