Jurea Juanita Jackson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN074224 Issued in GA

Practice address

351 S Liberty St
Waynesboro, GA 30830-9686

Phone

(706) 554-4435

NPI assigned

Dec 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Jurea Juanita Copeland Former name

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": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1700060522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5028 RIVER RD",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308307533",
            "telephone_number": "706-554-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 S LIBERTY ST",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308309686",
            "telephone_number": "706-554-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JUREA",
        "middle_name": "JUANITA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN074224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LICENSE NUMBER",
            "identifier": "LPN074224",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUREA",
            "last_name": "COPELAND",
            "middle_name": "JUANITA",
            "prefix": "MS.",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hudd Acres LLC
• Amber Marie Huddleston, LPC
• Tamara Alisha Ivy
• J Mark Gresham MD PC
• Joseph L Jackson Sr., M.D.
• Amy Johnson Jacobs, PHARM D
• Bonnie P Jenkins, M.D.
• Sarah Jenkins
• Monnessia Latreal Johnson
• Ryan Patrick Johnson, D.O.

• Licensed Practical Nurse in Waynesboro, GA
• Providers in Waynesboro, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.