MEDICARE: JHAIANA STEPHENS-TARPLEY CNA

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	251J00000X	Nursing Care Agency	CNA460137	GA

General Provider Information

NPI Number	:	1952231003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JHAIANA STEPHENS-TARPLEY CNA

Provider Business Mailing Address
First Line	:	3031 KENVILLE LN
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30034-4761
Country	:	US
Telephone Number	:	689-444-7075
Fax Number	:

Provider Business Practice Location Address
First Line	:	3031 KENVILLE LN
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30034-4761
Country	:	US
Telephone Number	:	689-444-7075
Fax Number	:

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

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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