MS. JOLI ERIN MIRACLE


Address: 1061 Harmon Ave, Fort Stewart, GA 31314-5641
Phone: 9124356762

MS. JOLI ERIN MIRACLE (NPI# 1407257371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407257371
Entity Type Individual
Full Name MS. JOLI ERIN MIRACLE
Credential RN
Practice Address 1061 Harmon Ave
Fort Stewart
GA 31314-5641
Practice Telephone 9124356762
Mailing Telephone 9124356762
Enumeration Date 2014-09-10
Last Update Date 2014-09-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WM0705X Registered Nurse
Specialization: Medical-Surgical
RN205164 GA Nursing Service Providers

Office Location

Street Address 1061 HARMON AVE
City FORT STEWART
State GA
Zip Code 31314-5641

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871596486 Donald E Shackleford Obstetrics & Gynecology 1061 Harmon Ave, Fort Stewart, GA 31314 2005-05-27
1619575081 Rudy Noel Torres Negron Social Worker 1061 Harmon Ave, Fort Stewart, GA 31314-5641 2020-10-16
1629675434 Darryl B Moore Counselor 1061 Harmon Ave, Fort Stewart, GA 31314-5641 2020-10-05
1093330268 Lesheia Tasker Technician, Other 1061 Harmon Ave, Fort Stewart, GA 31314-5641 2020-06-12
1770111270 Kendal Padgett Physical Therapist 1061 Harmon Ave, Fort Stewart, GA 31314-5641 2020-03-30
1104452218 Tiffany L Stark Physician Assistant 1061 Harmon Ave, Fort Stewart, GA 31314-5641 2020-03-20
1396371035 Alicia Nichole Hasquin Physician Assistant 1061 Harmon Ave, Fort Stewart, GA 31314-5641 2020-03-13
1407481492 Matthew Douglas Lueders Student in an Organized Health Care Education/Training Program 1061 Harmon Ave, Fort Stewart, GA 31314-5641 2020-03-10
1316572308 Seth Ravid Student in an Organized Health Care Education/Training Program 1061 Harmon Ave, Fort Stewart, GA 31314-5641 2020-03-10
1487289526 Huon Sharpe Student in an Organized Health Care Education/Training Program 1061 Harmon Ave, Fort Stewart, GA 31314-5641 2020-03-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932733995 Heather Ziccarelli Deneen Dietitian, Registered 441 Bultman Ave, 1183, Fort Stewart, GA 31314 2020-02-28
1073099826 Ross Emerick Dentist 351 West 6th Street, Fort Stewart, GA 31314 2018-07-16
1184154742 Roland Garcia Dentist 351 W 6th St Bldg 440, Ft Stewart, GA 31314 2017-06-15
1548613045 Sylvia Mclean Dental Hygienist 343 Vanguard Road, Fort Stewart, GA 31314 2016-07-20
1407209257 David Wald Jr. Dental Hygienist 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 2016-07-18
1376995415 Alisha Potter Dental Assistant 305 Vangurard Road, Ft Stewart, GA 31314 2016-07-12
1538511068 Brandi Harris Dental Assistant 305 Vanguard Rd, Ft Stewart, GA 31314 2016-07-08
1548612088 Adrian Cuthbert Dental Assistant 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 2016-07-08
1841642386 Beverly Lynn Berry Dental Assistant 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 2016-07-08
1740630060 Anjanette Nicole' Brown Dental Assistant 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 2016-06-17
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Taxonomy Information

Taxonomy Code 163WM0705X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Medical-Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932478047 Sarah G Talone Registered Nurse 6 Red Bud Dr, Fort Stewart, GA 31315-1056 2011-12-19
1902336316 Trung-viet Nguyen Registered Nurse 1061 Harmon Ave, Fort Stewart, GA 31314-5641 2017-06-18
1124415898 Jacob Sliter Registered Nurse 1061 Harmon Ave, Fort Stewart, GA 31314-5641 2015-04-21
1598166621 Maria Minbi Nacito Sabalboro Registered Nurse 1061 Harmon Ave, Fort Stewart, GA 31314-5641 2014-09-08
1841691243 Tonie Marie Smith-chenault Registered Nurse 1061 Harmon Ave, Fort Stewart, GA 31314-5641 2014-09-05
1073913547 Lisa Tyler Registered Nurse 1061 Harmon Ave, Fort Stewart, GA 31314-5641 2014-09-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265047203 Ramona A Martinez Registered Nurse 40 Rosebud Ln, Mcdonough, GA 30253-5450 2020-09-15
1316581945 Sheena Maria Hall Registered Nurse 2969 Hollow Ln, Powder Springs, GA 30127-1864 2019-11-06
1831699586 Shanta Lacole Clayton Registered Nurse 437 S Morris Rd Lot 1, Moultrie, GA 31768-0874 2018-02-20
1689193989 Mary E Parker Registered Nurse 1502 Valwood Ave, Thomasville, GA 31792-3943 2017-09-18
1043738909 Latoya Katrese Buford Registered Nurse 2022 Fairburn Rd Ste D, Douglasville, GA 30135-1062 2017-08-31
1205237971 Ronald Toups Jr. Registered Nurse 1907 Dry Valley Rd, Rossville, GA 30741-6171 2014-09-11
1114337359 Jean Green Registered Nurse 232 Crepe Myrtle Cir, Ocilla, GA 31774-3348 2014-04-28
1558631986 Elizabeth Flannery Registered Nurse 500 Northside Cir Nw, Atlanta, GA 30309-2122 2012-01-02
1346432895 Santredra F Wright Registered Nurse 2799 Davis Mill Rd, Hephzibah, GA 30815-6904 2007-08-17
1285653253 Sheila Armstrong Registered Nurse 1075 Jesse Jewell Pkwy Ne Ste B, Suite B, Gainesville, GA 30501-3814 2006-07-19
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Competitor

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City FORT STEWART
Zip Code 31314

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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