Jacqueline Lee, is a
Licensed Practical Nurse based in Stonecrest, Georgia. Jacqueline Lee is licensed to practice in Georgia (license number LPN095403) and her current practice location is
6310 Browns Mill Rd, Stonecrest, Georgia. She can be reached at her office (for appointments etc.) via phone at
(321) 557-6041.
NPI number for Jacqueline Lee is 1154098366 and her current mailing address is 6310 Browns Mill Rd, Stonecrest, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154098366.
Provider's Profile
| Full Name | Jacqueline Lee |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 6310 Browns Mill Rd, Stonecrest, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154098366
- Provider Enumeration Date: 08/25/2021
- Last Update Date: 08/25/2021
Medical Identifiers
Medical identifiers for Jacqueline Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154098366 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | LPN095403 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Lee is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacqueline Lee,
6310 Browns Mill Rd,
Stonecrest, GA 30038-4209
Ph: (321) 557-6041 | Jacqueline Lee,
6310 Browns Mill Rd,
Stonecrest, GA 30038-4209
Ph: (321) 557-6041 |
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