MS. JOLI ERIN MIRACLE (NPI# 1407257371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407257371 |
| Entity Type | Individual |
| Full Name | MS. JOLI ERIN MIRACLE |
| Credential | RN |
| Practice Address |
1061 Harmon Ave Fort Stewart GA 31314-5641 |
| Practice Telephone | 9124356762 |
| Mailing Telephone | 9124356762 |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
RN205164 | GA | Nursing Service Providers |
| Street Address |
1061 HARMON AVE |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31314-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596486 | Donald E Shackleford | Obstetrics & Gynecology | 1061 Harmon Ave, Fort Stewart, GA 31314 | 2005-05-27 |
| 1619575081 | Rudy Noel Torres Negron | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-16 |
| 1629675434 | Darryl B Moore | Counselor | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-05 |
| 1093330268 | Lesheia Tasker | Technician, Other | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-06-12 |
| 1770111270 | Kendal Padgett | Physical Therapist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-30 |
| 1104452218 | Tiffany L Stark | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-20 |
| 1396371035 | Alicia Nichole Hasquin | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-13 |
| 1407481492 | Matthew Douglas Lueders | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1316572308 | Seth Ravid | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1487289526 | Huon Sharpe | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932478047 | Sarah G Talone | Registered Nurse | 6 Red Bud Dr, Fort Stewart, GA 31315-1056 | 2011-12-19 |
| 1902336316 | Trung-viet Nguyen | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2017-06-18 |
| 1124415898 | Jacob Sliter | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2015-04-21 |
| 1598166621 | Maria Minbi Nacito Sabalboro | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-08 |
| 1841691243 | Tonie Marie Smith-chenault | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-05 |
| 1073913547 | Lisa Tyler | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047203 | Ramona A Martinez | Registered Nurse | 40 Rosebud Ln, Mcdonough, GA 30253-5450 | 2020-09-15 |
| 1316581945 | Sheena Maria Hall | Registered Nurse | 2969 Hollow Ln, Powder Springs, GA 30127-1864 | 2019-11-06 |
| 1831699586 | Shanta Lacole Clayton | Registered Nurse | 437 S Morris Rd Lot 1, Moultrie, GA 31768-0874 | 2018-02-20 |
| 1689193989 | Mary E Parker | Registered Nurse | 1502 Valwood Ave, Thomasville, GA 31792-3943 | 2017-09-18 |
| 1043738909 | Latoya Katrese Buford | Registered Nurse | 2022 Fairburn Rd Ste D, Douglasville, GA 30135-1062 | 2017-08-31 |
| 1205237971 | Ronald Toups Jr. | Registered Nurse | 1907 Dry Valley Rd, Rossville, GA 30741-6171 | 2014-09-11 |
| 1114337359 | Jean Green | Registered Nurse | 232 Crepe Myrtle Cir, Ocilla, GA 31774-3348 | 2014-04-28 |
| 1558631986 | Elizabeth Flannery | Registered Nurse | 500 Northside Cir Nw, Atlanta, GA 30309-2122 | 2012-01-02 |
| 1346432895 | Santredra F Wright | Registered Nurse | 2799 Davis Mill Rd, Hephzibah, GA 30815-6904 | 2007-08-17 |
| 1285653253 | Sheila Armstrong | Registered Nurse | 1075 Jesse Jewell Pkwy Ne Ste B, Suite B, Gainesville, GA 30501-3814 | 2006-07-19 |
| Find all providers with the same taxonomy | ||||
| City | FORT STEWART |
| Zip Code | 31314 |
Please comment or provide details below to improve the information on MS. JOLI ERIN MIRACLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.