JACOB EDWARD SPOON FNP-BC NPI 1063330363

NPI Information

  • NPI: 1063330363
  • Provider Name: JACOB EDWARD SPOON, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 855 N CHURCH ST STE 939
    THOMASTON, GA
    ZIP 30286
  • Phone: (762) 417-1055

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NPI Details

Jacob Edward Spoon, FNP-BC is a family nurse practitioner in Thomaston, GA. Jacob Edward Spoon, FNP-BC NPI is 1063330363. 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:

855 N CHURCH ST STE 939
THOMASTON, GA
ZIP 30286-622
Phone: (762) 417-1055
Fax: (762) 417-1056

The enumeration date for this NPI number is 7/7/2026 and was last updated on 7/9/2026.

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
1363LF0000XNurse PractitionerFamilyAPRN-NP311338GEORGIAYes

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: 11/21/2025

NPI Synchronization or Removal

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