Jamaiyah J Abdul-Rabb
Individual provider Active NPI Licensed Practical Nurse · Conyers, GA
NPI 1396459368 · NPPES record last updated Jan 13, 2023
Key facts
- NPI
- 1396459368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LPN101533 (GA)
- Practice address
- 1774 Morgan LN
Conyers, GA 30012-5571 - Phone
- (414) 551-5417
- NPI assigned
- Jan 13, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN101533 | GA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN101533 | GA | Yes |
Addresses
Primary practice location
1774 Morgan LN
Conyers, GA 30012-5571
Mailing address
1774 Morgan LN
Conyers, GA 30012-5571
Other providers in Conyers, GA
- ABA Homecare LLC
- Abbingh LLC
- Nour Abboushi
- Abbys Home Healthcare LLC
- Monica Abdelmalak
- Able Prosthetic Care, Inc.
- Above and Beyond ABA Ga LLC
- Above Average Professional Services
- Keyana Abram
- Ekinadese Aburime
All providers in Conyers, GA · Licensed Practical 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 Jan 13, 2023. 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.