SearchGeorgia106S00000X

Jenny Thanepohn

NPI 1326694696 · on the registry since 2019

Practice

Address
191 John Godley Ln
Ellabell, GA 31308
Phone
(770) 870-0770
Organisation at this address
Pivotal Moments Aba Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia