JACQUELINE CAROLYN EDWARDS N.P. RN NPI 1740688910

NPI Information

NPI: 1740688910
Provider Name: JACQUELINE CAROLYN EDWARDS, N.P., RN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
8081 TARA BLVD
265
JONESBORO, GA
ZIP 30236
Phone: (678) 815-5446
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Jacqueline Carolyn Edwards, N.P., RN is a family nurse practitioner in Jonesboro, GA. Jacqueline Carolyn Edwards, N.P., RN NPI is 1740688910. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8081 TARA BLVD
265
JONESBORO, GA
ZIP 30236
Phone: (678) 815-5446
Fax: (188) 829-1928

The NPI 1740688910 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/19/2014 and was last updated on 12/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN139678	GEORGIA	No
2	163W00000X	Registered Nurse		28131113A	INDIANA	No
3	363LF0000X	Nurse Practitioner	Family	RN139678	GEORGIA	Yes
4	363LF0000X	Nurse Practitioner	Family	71005657A	INDIANA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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