MRS. JESSICA LYN LEDBETTER NPI 1588536353

NPI Information

  • NPI: 1588536353
  • Provider Name: MRS. JESSICA LYN LEDBETTER
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 101 RIVERSTONE VIS STE 102
    BLUE RIDGE, GA
    ZIP 30513
  • Phone: (706) 258-4140

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NPI Details

MRS. Jessica Lyn Ledbetter is a family nurse practitioner in Blue Ridge, GA with 24 years of experience. MRS. Jessica Lyn Ledbetter NPI is 1588536353. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 RIVERSTONE VIS STE 102
BLUE RIDGE, GA
ZIP 30513-630
Phone: (706) 258-4140

The NPI 1588536353 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/22/2025 and was last updated on 10/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN159898GEORGIANo
2363LF0000XNurse PractitionerFamilyAPRN-NP159898GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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