Ms Jacqueline Denise Betts, is a
Licensed Practical Nurse based in Vidalia, Georgia. Ms Jacqueline Denise Betts is licensed to practice in Georgia (license number LPN059040) and her current practice location is
415 Dickerson Dr, Vidalia, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 538-8474.
NPI number for Ms Jacqueline Denise Betts is 1073790218 and her current mailing address is 415 Dickerson Dr, Vidalia, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073790218.
Provider's Profile
| Full Name | Ms Jacqueline Denise Betts |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 415 Dickerson Dr, Vidalia, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073790218
- Provider Enumeration Date: 01/30/2008
- Last Update Date: 01/30/2008
Medical Identifiers
Medical identifiers for Ms Jacqueline Denise Betts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073790218 | NPI | - | NPPES |
| 16 | Other | GA | NURSING |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | LPN059040 (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. Ms Jacqueline Denise Betts 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 |
|---|
Ms Jacqueline Denise Betts,
415 Dickerson Dr,
Vidalia, GA 30474-3826
Ph: (912) 538-8474 | Ms Jacqueline Denise Betts,
415 Dickerson Dr,
Vidalia, GA 30474-3826
Ph: (912) 538-8474 |
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