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Active NPI 1073790218 Individual Practitioner Female Practitioner

Jacqueline Denise Betts

Licensed Practical Nurse • Vidalia, GA

Professional Overview & Biography Verified Profile Summary

Jacqueline Betts is a registered healthcare professional specializing in Licensed Practical Nurse in Vidalia, GA. Practice services are available at 415 DICKERSON DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

415 Dickerson Dr

Vidalia, GA 304743826

Telephone 9125388474

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Vidalia, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Vidalia, GA (1401 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License GA LPN059040

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nursing
16 (GA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active January 30, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2008

Registered at 415 DICKERSON DR, VIDALIA, GA 304743826 (Tel: 9125388474)

📍
Updated Business Mailing Address January 30, 2008

Registered at 415 DICKERSON DR, VIDALIA, GA 304743826 (Tel: 9125388474)

👤
Provider Name / Credentials Updated January 30, 2008

Recorded as JACQUELINE BETTS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2008

Licensed Practical Nurse (License #LPN059040 in GA)

🟢
Initial NPI Registration & Enumeration January 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073790218
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2008
Last Update: January 30, 2008
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

415 Dickerson Dr

Vidalia, GA 304743826

Phone: 9125388474

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.