Denise M Jacques
M.D. | Pediatric Adolescent Medicine | Female
Denise M Jacques, M.D. is a Greenville, South Carolina based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Denise M Jacques is
200 Patewood Dr, Suite A120, Greenville, South Carolina - 29615-3593. She can be contacted on phone at
864-454-2670.
Denise M Jacques is a sole proprietor of her business.
NPI number (Unique professional ID) for Denise M Jacques is
1144289687 which was assigned by NPPES on 22 Mar, 2006 and it was last updated on 05 Feb, 2008.
Denise M Jacques license number is
22187 for Pediatrics Adolescent Medicine (2080A0000X) in South Carolina.
Denise M Jacques specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Denise M Jacques basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Denise M Jacques |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
Business Address:
Denise M Jacques address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 200 Patewood Dr, Suite A120
Greenville, SC, 29615-3593
United States |
|---|
| Phone Number : | 864-454-2670 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1144289687 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 22 Mar, 2006 |
|---|
| Last Updated On : | 05 Feb, 2008 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Denise M Jacques are as mentioned. Primary taxonomy code for Denise M Jacques, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 22187 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Denise M Jacques such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 221879 | MEDICAID | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 7 Independence Pt, Suite 140
Greenville, SC, 29615-4566
United States |
|---|
| Phone Number : | 864-797-6044 |
|---|
Business Location:
Patients can refer following map for directions to
Denise M Jacques practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.