Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jalicia Buckholts

Individual provider Registered Nurse · NPI 1528790326

Jalicia Buckholts is a Registered Nurse in Vienna, Georgia. Licensed in Georgia. Registered with an NPI since 2022.

Licensed in
GA
In the registry since
2022

Practice location Address checks out

511 Clover St
Vienna, GA 31092-0904
Phone: (229) 815-1325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 310515 (GA)

Record details

NPI number1528790326
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 29, 2022
Last updated in NPPESJune 29, 2022
Certification dateJune 29, 2022