Provider Demographics
NPI:1669090551
Name:NEVERS, JORGIA REBECCA (BSW)
Entity type:Individual
Prefix:MRS
First Name:JORGIA
Middle Name:REBECCA
Last Name:NEVERS
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:264 ZINNIE SHARP RD
Mailing Address - Street 2:
Mailing Address - City:ROBELINE
Mailing Address - State:LA
Mailing Address - Zip Code:71469-5220
Mailing Address - Country:US
Mailing Address - Phone:318-623-8813
Mailing Address - Fax:
Practice Address - Street 1:264 ZINNIE SHARP RD
Practice Address - Street 2:
Practice Address - City:ROBELINE
Practice Address - State:LA
Practice Address - Zip Code:71469-5220
Practice Address - Country:US
Practice Address - Phone:318-623-8813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator