MEDICARE: JEPTHE NKWANMEN RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WW0000X	Wound Care Registered Nurse	RN331501	GA

General Provider Information

NPI Number	:	1114898178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEPTHE NKWANMEN RN

Provider Business Mailing Address
First Line	:	211 RUSTY PLOW LN
Second Line	:
City	:	PERRY
State	:	GA
Zip	:	31069-9870
Country	:	US
Telephone Number	:	478-442-9926
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 RUSTY PLOW LN
Second Line	:
City	:	PERRY
State	:	GA
Zip	:	31069-9870
Country	:	US
Telephone Number	:	478-442-9926
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	09/15/2025

Similar Medicare Providers

1740152511 — PERRY HOME WOUND CARE LLC
Practice Location Address:

211 RUSTY PLOW LN
PERRY, GA
31069-9870

Practice Phone: 478-442-9926
Practice Fax:

1013529577 — MR. WILLY ARMAND YOUGANG TCHOUTANG NP
Practice Location Address:

211 RUSTY PLOW LN
PERRY, GA
31069-9870

Practice Phone: 478-317-4446
Practice Fax:

1366444846 — MRS. JESSICA NIEDERKORN M.A., CCC-SLP
Practice Location Address:

4034 ROUNDTOP CIR
PERRY, GA
31069-7806

Practice Phone: 478-718-0573
Practice Fax:

1932194602 — MR. MICHAEL F SALVIA MD
Practice Location Address:

1117 MORNINGSIDE DR.
PERRY, GA
31069

Practice Phone: 478-224-1976
Practice Fax: 478-224-1996

1831185388 — DR. NASSER SEYED TEHRANI MD
Practice Location Address:

1117 MORNINGSIDE DR
PERRY, GA
31069-2905

Practice Phone: 478-224-1976
Practice Fax: 478-224-1996

1538157128 — DR. ALVIN D CHAPMAN D.M.D.
Practice Location Address:

233 WES PARK DR
PERRY, GA
31069-4829

Practice Phone: 478-987-7863
Practice Fax: 478-987-7756

Directions to “ JEPTHE NKWANMEN RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.