Healthcare Provider Details

I. General information

NPI: 1235740861
Provider Name (Legal Business Name): JONESSE LOVE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2914 CHEROKEE ST NW STE 1A
KENNESAW GA
30144-6526
US

IV. Provider business mailing address

3890 FLOYD RD APT 2206
AUSTELL GA
30106-1522
US

V. Phone/Fax

Practice location:
  • Phone: 678-369-4268
  • Fax:
Mailing address:
  • Phone: 404-834-0333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN281347
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN281347
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: