Jillalison Lee Rainey, RN, BSN
Individual provider Active NPI Registered Nurse · Garden Ridge, TX
NPI 1124314448 · NPPES record last updated Jun 24, 2011
Key facts
- NPI
- 1124314448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- L1-0038069 (DE)
- Practice address
- 18945 FM 2252 Ste 115
Garden Ridge, TX 78266-2797 - Phone
- (866) 595-6379
- NPI assigned
- Jun 24, 2011
- 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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0038069 | DE | MD | Registered Nurse |
| 26NR14890400 | NJ | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | L1-0038069 | DE | Yes |
| Registered Nurse | 163W00000X | 26NR14890400 | NJ |
Addresses
Primary practice location
18945 FM 2252 Ste 115
Garden Ridge, TX 78266-2797
Mailing address
320 Pomelo Drive
Apartment 218
Vista, CA 92081-6477
Phone (609) 805-1459
Other providers in Garden Ridge, TX
- PHCC-Paramount Home Health Care, LLC
- PHCC-Paramount Hospice Care, LLC
- Virginia Gacuma Plunk
- PRN Pediatric Home Health Care LLC
- Bernadette Yvonne Puente-Renteria
- Rapha Counseling LLC
- Restorative Pathways PLLC
- Barbara Ann Richardson
- Karen Aurora Rodriguez
- Rose Garden Christian Counseling
All providers in Garden Ridge, TX · Registered Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2011. 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.