MS. JACQUELINE DENISE BETTS
NPI 1073790218
Licensed Practical Nurse in Vidalia, GA

Q: What is Jacqueline Betts's NPI number?

The NPI number for Jacqueline Betts is 1073790218. It was assigned to this individual provider in the NPPES registry on January 30, 2008. The provider is also known as Ms. Jacqueline Denise Cook.

Q: What is Jacqueline Betts's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Betts was last updated on January 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 30, 2008

415 DICKERSON DR, VIDALIA, GA 30474(912) 538-8474 Get Directions Write a Review

NPPES record last updated: January 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Jacqueline Denise Betts NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JACQUELINE DENISE BETTS (NPI 1073790218) is an individual licensed practical nurse in Vidalia, Georgia, licensed in Georgia (LPN059040) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1073790218

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMS. JACQUELINE DENISE BETTS

Location Address415 DICKERSON DRVidalia, GA 30474-3826

Mailing Address415 Dickerson DrVidalia, GA 30474-3826 · (912) 538-8474

Phone(912) 538-8474

Sole ProprietorYes

Enumeration DateJanuary 30, 2008

✔ NPI 1073790218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in GA · LPN059040

Definition

A licensed practical nurse 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.

415 DICKERSON DR, Vidalia, GA 30474

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Other Names 1

Former Name (1)Ms. Jacqueline Denise Cook

Other Identifiers 1

Other16GA · Nursing

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Betts's NPI number?

The NPI number for Jacqueline Betts is 1073790218. It was assigned to this individual provider in the NPPES registry on January 30, 2008. The provider is also known as Ms. Jacqueline Denise Cook.

Where is Jacqueline Betts located?

Jacqueline Betts practices at 415 Dickerson Dr, Vidalia, GA 30474. The listed phone number is (912) 538-8474.

What is Jacqueline Betts's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Betts was last updated on January 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.