Nelson Jacquet is a Medical in Marietta, Georgia. Nelson Jacquet practices all healthcare services and medical treatments related to Medical. The NPI Number for Nelson Jacquet is 1578568358. The last update date is 2019-11-06.
Nelson Jacquet's current location address is 55 Whitcher St Ne, Marietta, Georgia. You can contact this provider via phone number 7704246893 and fax number 7704249095. The mailing address for Nelson Jacquet is 55 Whitcher St Ne, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nelson Jacquet |
|---|---|
| Address | 55 Whitcher St Ne, Marietta, Georgia |
| Phone Number | 7704246893 |
| Fax Number | 7704249095 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1578568358 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2019-11-06 |
Provider Mailing Address Detail
| Address | 55 Whitcher St Ne |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 3006011550 |
| Phone Number | 7704246893 |
| Fax Number | 7704249095 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 4350 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 180068957D | GA | -- | |
| 180068957F | GA | -- | |
| 180068957B | GA | -- | |
| 180068957C | GA | -- | |
| 180068957E | GA | -- |
Post Comment/ Review Below
What is the Nelson Jacquet's 1578568358?
The Nelson Jacquet's NPI (National Provider Identifier) Number is 1578568358. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Nelson Jacquet's physical address?
The Nelson Jacquet is physically located at 55 Whitcher St Ne, in the city of Marietta, GA, with the postal code 3006011550.
What is the Nelson Jacquet's area of specialization and corresponding taxonomy classification?
The Nelson Jacquet's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
When did Nelson Jacquet receive its 1578568358 assignment?
The Nelson Jacquet was assigned its 1578568358 on 2005-06-17, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Nelson Jacquet most recently updated or revised?
The information pertaining to Nelson Jacquet, including its address, specialty, and other relevant details, was last updated or revised on 2019-11-06.