=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962301549
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | STEPHANIE LEE BRINKLEY RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/02/2026
-----------------------------------------------------
Last Update Date | 11/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1425 W ORANGE ST
-----------------------------------------------------
City | JESUP
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31545-0717
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 912-427-1077
-----------------------------------------------------
Fax | 912-427-1079
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 295 SATILLA CHURCH RD
-----------------------------------------------------
City | JESUP
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31545-2704
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 912-427-1077
-----------------------------------------------------
Fax | 912-427-1079
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WS0200X
-----------------------------------------------------
Taxonomy Name | School Registered Nurse
-----------------------------------------------------
License Number | RN222398
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------