Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AGNES REENE JAKES
Active Sole ProprietorAGNES REENE JAKES is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in ELLERSLIE, Georgia. NPI 1962208694 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · ELLERSLIE, GA
Registration Details
- NPI Number
- 1962208694
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 24, 2025 (1.4739433987098 yrs)
- Last Updated
- Feb 24, 2025
- License
-
RN306752 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 PIKE DRELLERSLIE, GA, 318075548Browse GA providers · Browse ZIP 31807
- Phone
- 7065935539
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
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.