Individual provider · Type 1 NPI

Nicole Beall Jaques, MD

Family Medicine Physician · Portland, TN

NPI number 1851563019 Active

Practice location

105 Redbud Dr, Emergency Department
Portland, TN 37148-1673

Call (615) 745-8150 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X45895 (TN)
Emergency Medicine Physician 207P00000X45895 (TN)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1851563019

Nicole Beall Jaques, MD's National Provider Identifier is 1851563019, issued on Mar 27, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Portland, TN. The record was last updated on Jan 13, 2015.