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Ms. Jacqueline Denise Betts
Licensed Practical Nurse in Vidalia, Georgia
NPI 1073790218

Jacqueline Denise Betts is a Licensed Practical Nurse based in Vidalia, GA. Jacqueline Denise Betts practices in Vidalia, GA. The NPI Number for Jacqueline Denise Betts is 1073790218 and holds a License No. LPN059040 (Georgia).

The current practice location address for Jacqueline Denise Betts is 415 Dickerson Dr, Vidalia, GA and can be reached out via phone at 912-538-8474.

Location: 415 Dickerson Dr, Vidalia, GA, 30474-3826
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073790218
Provider Name
Jacqueline Denise Betts
Credential
Provider Entity Type
Individual
Gender
Female
Address
415 Dickerson Dr, Vidalia, GA, 30474-3826
Phone Number
912-538-8474
Fax Number
Provider Enumeration Date
01/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16 01 GA NURSING
institution
Provider Business Practice Location Address Details
Address
415 Dickerson Dr
City
Vidalia
State
Georgia
Zip
30474-3826
Phone Number
912-538-8474
Fax Number
person
Provider Business Mailing Address Details
Address
415 Dickerson Dr
City
Vidalia
State
Georgia
Zip
30474-3826
Phone Number
912-538-8474
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LPN059040 (Georgia)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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