Jennifer Elaine Eubanks, BSN
Individual provider Active NPI Administrator Registered Nurse · Cedartown, GA
NPI 1356970503 · NPPES record last updated Apr 8, 2020
Key facts
- NPI
- 1356970503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Administrator Registered Nurse 163WA2000X
- License
- RN117871 (GA)
- Practice address
- 740 Fletcher St
Cedartown, GA 30125-3249 - Phone
- (770) 749-5336
- Fax
- (770) 748-5022
- NPI assigned
- Apr 8, 2020
- Sex
- Female
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN117871 | GA | MD | Administrator Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | RN117871 | GA | Yes |
Addresses
Primary practice location
740 Fletcher St
Cedartown, GA 30125-3249
Mailing address
740 Fletcher St
Cedartown, GA 30125-3249
Phone (770) 749-5336
Other providers in Cedartown, GA
- Karen Ann Eberhart
- Carol P. Edwards
- Gerson Escondo
- Veronica Escutia
- Etowah Emergency Physicians, LLC
- Pamela Jo Evans
- Mark Joseph Faulkner
- Kimber Fields
- Michael Figueras
- Greta Dowling Flaherty
All providers in Cedartown, GA · Administrator 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 Apr 8, 2020. 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.