Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICOLE BEALL JAQUES, M.D.
ActiveDR. NICOLE BEALL JAQUES, M.D. is a Family Medicine healthcare provider located in PORTLAND, Tennessee. NPI 1851563019 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PORTLAND, TN
Registration Details
- NPI Number
- 1851563019
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 27, 2008 (18.368110983392 yrs)
- Last Updated
- Jan 13, 2015
- Licenses
-
45895 (TN)45895 (TN)
Practice Information
- Address
-
105 REDBUD DREMERGENCY DEPARTMENTPORTLAND, TN, 371481673Browse TN providers · Browse ZIP 37148
- Phone
- 6157458150
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Emergency Medicine
Other Family Medicine Providers in PORTLAND, TN
| Name | Credential | NPI |
|---|---|---|
| STACEY DROTT VANCE | MD | 1952300790 |
| DR. RALPH H. RUCKLE | M.D. | 1790770378 |
| DR. JOHN A TAYLOR | M.D. | 1194711291 |
| PEPITO SALCEDO | MD | 1588630255 |
| DR. MICHAEL DEAN LITTELL | DO | 1023084001 |
| TIMOTHY C KUNTZ | P.A. | 1790814630 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.