Jennifer Oglesby Butcher, RN
Individual provider Active NPI Registered Nurse · Ellaville, GA
NPI 1023410909 · NPPES record last updated Sep 22, 2014
Key facts
- NPI
- 1023410909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN207222 (GA)
- Practice address
- 125 Meadow Wood Dr
Ellaville, GA 31806-8936 - Phone
- (229) 942-3492
- NPI assigned
- Sep 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN207222 | GA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN207222 | GA | Yes |
Addresses
Primary practice location
125 Meadow Wood Dr
Ellaville, GA 31806-8936
Mailing address
125 Meadow Wood Dr
Ellaville, GA 31806-8936
Phone (229) 942-3492
Other providers in Ellaville, GA
- Elizabeth Kate Albritton
- Careconnect Health, Inc.
- Compass Family Healthcare LLC
- Sandra D Daniel
- Terrel Raines Denmark
- Gill Drug Co. Inc.
All providers in Ellaville, GA · Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.