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JUSTIN RAY
NPI 1255590402
Licensed Practical Nurse in Statesboro, GA

Active since June 03, 2008
2014 PINEMOUNT BLVD, STATESBORO, GA 30461(912) 764-2995 Get Directions Write a Review

NPPES record last updated: June 3, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justin Ray NPPES

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

JUSTIN RAY (NPI 1255590402) is an individual licensed practical nurse in Statesboro, Georgia, licensed in Georgia (LPN071268) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1255590402
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameJUSTIN RAY
Location Address2014 PINEMOUNT BLVDStatesboro, GA 30461-2358
Mailing Address2014 Pinemount BlvdStatesboro, GA 30461-2358 · (912) 764-2995
Phone(912) 764-2995
Sole ProprietorYes
Enumeration DateJune 3, 2008
✔ NPI 1255590402 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 · LPN071268
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.
2014 PINEMOUNT BLVD, Statesboro, GA 30461
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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 Justin Ray's NPI number?

The NPI number for Justin Ray is 1255590402. It was assigned to this individual provider in the NPPES registry on June 3, 2008.

Where is Justin Ray located?

Justin Ray practices at 2014 Pinemount Blvd, Statesboro, GA 30461. The listed phone number is (912) 764-2995.

What is Justin Ray'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 Justin Ray was last updated on June 3, 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.