Akacyea Nycole Deck, PA-C

Physician Assistant · Jackson, TN

Individual Active NPI

NPI number 1124615497

Practice location

145 Innovation Dr
Jackson, TN 38305-3019
Phone
(731) 422-0213
Fax
(731) 422-0297

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NPI record

NPI
1124615497
Entity type
Individual (Type 1)
Enumeration date
December 21, 2020
Last updated
August 1, 2024
Certified
August 1, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 4647 TN

Mailing address

PO Box 400
Jackson, TN 38302-0400
Phone
(731) 423-8697
Fax
(731) 425-5783

About Akacyea Deck

Akacyea Nycole Deck, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 145 Innovation Dr, Jackson, TN 38305-3019. The NPI number 1124615497 was assigned on December 21, 2020 and the record was last updated on August 1, 2024.

Akacyea Deck lists a license in the registry: #4647 (TN) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Akacyea Nycole Deck, PA-C?

The NPI number is 1124615497.

What is the phone number of Akacyea Deck?

The phone number listed for the practice location is (731) 422-0213.

Where is Akacyea Deck located?

145 Innovation Dr, Jackson, TN 38305-3019.

What is the taxonomy code for Akacyea Deck?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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