Juaquasha Hackley
Juaquasha Hackley is a Nurse Practitioner in Dublin, Georgia. Qualified in 2024, 2 years ago. Practices with Providence OBGYN LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 2
- Licensed in
- GA
- In the registry since
- 2024
Practice location Address checks out
206 Fairview Park DrDublin, GA 31021-2547
Phone: (478) 246-4304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Women's Health Nurse Practitioner (primary) | Taxonomy 363LW0102X · Licence RN215651 (GA) |
|---|
Record details
| NPI number | 1801650668 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 12, 2024 |
| Last updated in NPPES | April 28, 2025 |
| Certification date | April 28, 2025 |
| Mailing address | 206 Fairview Park Dr, Dublin, GA 31021-2547 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Providence Obgyn Llc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |