Jaques, Nicole Beall

Jaques, Nicole Beall is an individual health care provider with primary practice located at 105 Redbud Dr Emergency Department, Portland TN 37148-1673. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Jaques, Nicole Beall can be contacted via phone (615) 745-8150.

Contact Information

Primary practice address
105 Redbud Dr Emergency Department Portland TN 37148-1673
Phone: (615) 745-8150
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 45895 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 45895 Tennessee

Profile Details

NPI number 1851563019
LBN Legal business name Jaques, Nicole Beall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2008
Last updated Jan 13th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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