Jenny Lee Charles, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN241333 Issued in GA

Practice address

711 4TH St
Augusta, GA 30901-2403

Phone

(706) 723-6015

NPI assigned

May 3, 2008

Last updated

Nov 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1316113913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 4TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012403",
            "telephone_number": "706-723-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 4TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012403",
            "telephone_number": "706-723-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "JENNY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-03",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN241333",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "APRN4139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Ann Chapman, MD
• Earl Bruce Chapman, P.T.
• Valarie Scott Chapman, OTR/L
• Charles G.McClure,M.D.,PC
• Aundetria Charles
• Taylor Charles
• Charlie Norwood VA Medical Center
• Charlie Norwood VA Medical Center
• Scarlet Beatriz Charmelo Silva, DDS
• Charmingcare Homelike

• Adult Health Nurse Practitioner in Augusta, GA
• Providers in Augusta, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.