Susan Dianne Cheatwood, LPN
Individual provider Active NPI Licensed Practical Nurse · Jacksonville, AL
NPI 1346561545 · NPPES record last updated Jun 22, 2010
Key facts
- NPI
- 1346561545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 2039828 (AL)
- Practice address
- 1701 Pelham Rd S Ste B
Jacksonville, AL 36265-3372 - Phone
- (256) 782-4256
- Fax
- (256) 782-4242
- NPI assigned
- Jun 22, 2010
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2039828 | AL | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 2039828 | AL | Yes |
Addresses
Primary practice location
1701 Pelham Rd S Ste B
Jacksonville, AL 36265-3372
Mailing address
713 Oak St
Anniston, AL 36207-4766
Phone (256) 591-5873
Other providers in Jacksonville, AL
- Juda Carter
- Ginger L Caudell
- Anmarie Chandler
- Chelsea Nicole Chandler
- David Glenn Chandler
- City of Jacksonville
- Kyle Andrew Clapper
- Briyana Clark
- Christopher Marvin Clark
- Dakota B Clark
All providers in Jacksonville, AL · Licensed Practical Nurse in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2010. 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.