Dr. Jamie Lynn Jaqua
MD | Pediatric Emergency Medicine | Female
Dr. Jamie Lynn Jaqua, MD is a San Antonio, Texas based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Jamie Lynn Jaqua is
520 Madison Oak Dr, San Antonio, Texas - 78258-3912. She can be contacted on phone at
210-297-4050.
Dr. Jamie Lynn Jaqua is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Jamie Lynn Jaqua is
1639360811 which was assigned by NPPES on 05 Aug, 2007 and it was last updated on 16 Jun, 2020.
Dr. Jamie Lynn Jaqua license number is
P6362 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Texas.
Dr. Jamie Lynn Jaqua has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Jamie Lynn Jaqua basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Jamie Lynn Jaqua |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Jamie Lynn Jaqua 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 : | 520 Madison Oak Dr
San Antonio, TX, 78258-3912
United States |
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| Phone Number : | 210-297-4050 |
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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 : | 1639360811 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Aug, 2007 |
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| Last Updated On : | 16 Jun, 2020 |
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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 Dr. Jamie Lynn Jaqua are as mentioned. Primary taxonomy code for Dr. Jamie Lynn Jaqua, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | P6362 | TX |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | No | 2010-01200 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jamie Lynn Jaqua such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 5920138 | MEDICAID | NC | |
| 4661837281 | Other | | MYUTMB 4661837281 |
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 : | 4535 Dressler Rd Nw
Canton, OH, 44718-2545
United States |
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| Phone Number : | 330-994-4731 |
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| Fax Number : | 330-409-8898 |
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Business Location:
Patients can refer following map for directions to
Dr. Jamie Lynn Jaqua 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.