NELSON JACQUET PA NPI 1578568358

NPI Information

NPI: 1578568358
Provider Name: NELSON JACQUET, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
55 WHITCHER ST NE
STE 350
MARIETTA, GA
ZIP 30060
Phone: (770) 424-6893
Get Directions

Nelson Jacquet, PA is a medical physician assistant in Marietta, GA with 23 years of experience. Nelson Jacquet, PA NPI is 1578568358. 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:

55 WHITCHER ST NE
STE 350
MARIETTA, GA
ZIP 30060-155
Phone: (770) 424-6893
Fax: (770) 424-9095

The NPI 1578568358 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/17/2005 and was last updated on 11/6/2019.

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	363AM0700X	Physician Assistant	Medical	004350	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	180068957C	MEDICAID	GEORGIA
2	180068957F	MEDICAID	GEORGIA
3	180068957D	MEDICAID	GEORGIA
4	180068957E	MEDICAID	GEORGIA
5	180068957B	MEDICAID	GEORGIA

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: 4/28/2024

NPI Synchronization or Removal

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