JACOB JONES SPECIALIST SCH PSYCH NPI 1154756625

NPI Information

NPI: 1154756625
Provider Name: JACOB JONES, SPECIALIST SCH PSYCH
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
1979 LAKESIDE PKWY STE 800
TUCKER, GA
ZIP 30084
Phone: (800) 849-5502
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Jacob Jones, SPECIALIST SCH PSYCH is a specialist in Tucker, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jacob Jones, SPECIALIST SCH PSYCH NPI is 1154756625. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1979 LAKESIDE PKWY STE 800
TUCKER, GA
ZIP 30084-856
Phone: (800) 849-5502

The enumeration date for this NPI number is 9/3/2013 and was last updated on 9/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		SP0000000833225	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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