MRS. JUREA JUANITA JACKSON (NPI# 1700060522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700060522 |
| Entity Type | Individual |
| Full Name | MRS. JUREA JUANITA JACKSON |
| Other Name | MS. JUREA JUANITA COPELAND |
| Credential | LPN |
| Practice Address |
351 S Liberty St Waynesboro GA 30830-9686 |
| Mailing Address |
5028 River Rd Waynesboro GA 30830-7533 |
| Practice Telephone | 7065544435 |
| Mailing Telephone | 7065549923 |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN074224 | GA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LPN LICENSE NUMBER | LPN074224 | 01 |
| Street Address |
351 S LIBERTY ST |
| City | WAYNESBORO |
| State | GA |
| Zip Code | 30830-9686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417932583 | Healthspan LLP | General Acute Care Hospital | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2005-12-13 |
| 1144838574 | Burke County Hospital Authority | Pharmacy | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2020-07-22 |
| 1467840272 | Shanika Linette Richardson Conyers | Nurse Practitioner | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2014-12-31 |
| 1740541929 | Burke County Hospital Authority | Medicare Defined Swing Bed Unit | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2012-06-04 |
| 1053672527 | Burke County Hospital Authority | General Acute Care Hospital | 351 S Liberty St, Waynesboro, GA 30830 | 2012-05-31 |
| 1982984738 | Burke County Emergency Physicians LLC | Emergency Medicine | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2011-08-25 |
| 1952637209 | Debra S Burch | Registered Nurse | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2009-10-21 |
| 1376766832 | Lashawn Tanksley | Speech-Language Pathologist | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2007-04-11 |
| 1003039660 | Susana Bustos | Occupational Therapist | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2007-04-11 |
| 1336203264 | Samuel C. Nixon | Emergency Medicine | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2006-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935841 | Benjamin Wade Alverson | Dentist | 264 Hopkins Corner Dr. Suite D-8, Waynesboro, GA 30830 | 2020-06-08 |
| 1619524865 | Clark Drug Company, LLC. | Pharmacy | 206 W 6th Street, Waynesboro, GA 30830 | 2019-08-22 |
| 1508181405 | Walter R. Voyles | Surgery | 506 Burkeland Rd, Waynesboro, GA 30830 | 2010-04-02 |
| 1124264015 | Southern Health Solutions, LLC | Early Intervention Provider Agency | 6293c Highway 23 South, Waynesboro, GA 30830 | 2008-12-23 |
| 1184814519 | Bonnie P Jenkins Md PC | Family Medicine | 201 Dogwood Drive, Waynesboro, GA 30830 | 2007-08-01 |
| 1528113388 | Margaret Ann Mcgraw | Licensed Practical Nurse | 305 Park Dr, Waynesboro, GA 30830 | 2007-01-24 |
| 1780739599 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 305 Park Drive, Waynesboro, GA 30830 | 2007-01-24 |
| 1356496194 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 556 Hwy 25 South, Waynesboro, GA 30830 | 2007-01-24 |
| 1396890091 | Frances Gilbreth Brown | Counselor | 629 Shadrack Street, Waynesboro, GA 30830 | 2007-01-24 |
| 1316092000 | Connie Golding | Counselor | 727 W. Sixth Street, Waynesboro, GA 30830 | 2007-01-24 |
| Find all providers in zip 30830 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| 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. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528113388 | Margaret Ann Mcgraw | Licensed Practical Nurse | 305 Park Dr, Waynesboro, GA 30830 | 2007-01-24 |
| 1356427363 | Christine D. Jones | Licensed Practical Nurse | 332 Dogwood Drive, Waynesboro, GA 30830 | 2006-10-31 |
| 1215358171 | Tonya Raborn | Licensed Practical Nurse | 292 W 4th St, Waynesboro, GA 30830-1559 | 2013-12-19 |
| 1376988808 | Tammy Patton | Licensed Practical Nurse | 292 W 4th St, Waynesboro, GA 30830-1559 | 2013-05-10 |
| 1154670693 | Greta Latoria Bell | Licensed Practical Nurse | 292 W 4th St, Waynesboro, GA 30830-1559 | 2012-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961557 | Christina Jarvis-reid | Licensed Practical Nurse | 211 Lasso Dr, Riverdale, GA 30274-4095 | 2020-10-28 |
| 1326646639 | Yolanda Glover-harden | Licensed Practical Nurse | 6214 Hickory Lane Cir, Union City, GA 30291-5509 | 2020-10-09 |
| 1831706423 | Sonia Dareus | Licensed Practical Nurse | 1495 Cain Ct N, Douglasville, GA 30134-3681 | 2020-09-28 |
| 1609482140 | Antronette Darrell | Licensed Practical Nurse | 1578 Cherry Hill Rd Sw, Conyers, GA 30094-6835 | 2020-09-21 |
| 1760097778 | Christal Latrice Callier | Licensed Practical Nurse | 1995 Matt Dr, Austell, GA 30168-4330 | 2020-09-15 |
| 1356955678 | Marica Lashone Sanders | Licensed Practical Nurse | 301 -3 Club Villa Court, Kathleen, GA 31047 | 2020-09-03 |
| 1689287641 | Lydia Gennie | Licensed Practical Nurse | 1004 Shoreline Dr, Bainbridge, GA 39817-8393 | 2020-08-28 |
| 1558972588 | Starla Lynn Waddell | Licensed Practical Nurse | 675a Moran Lake Rd Ne, Rome, GA 30161-2106 | 2020-08-13 |
| 1700495975 | Shalunda Harrison | Licensed Practical Nurse | 4311 Christine Ct, Decatur, GA 30035-1702 | 2020-07-23 |
| 1902414683 | Vernita Monica Washington | Licensed Practical Nurse | 1974 Talmadge Rd, Allenhurst, GA 31301-3201 | 2020-07-17 |
| Find all providers with the same taxonomy | ||||
| City | WAYNESBORO |
| Zip Code | 30830 |
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| 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.