Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackie Maryline Bassong, FNP-C, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1477296366

Jackie Maryline Bassong, FNP-C, FNP-BC is a Nurse Practitioner in Kennesaw, Georgia. Qualified in 2021, 5 years ago. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-NP279714 (GA)

Record details

NPI number1477296366
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C , FNP-BC
Sole proprietorNo
NPI enumeratedApril 18, 2022
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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