Jared Daniel Jacques, PA-C

Physician Assistant · Tyler, TX

Individual Active NPI

NPI number 1720840218

Practice location

627 Turtle Creek Dr
Tyler, TX 75701-1832
Phone
(903) 593-2539

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NPI record

NPI
1720840218
Entity type
Individual (Type 1)
Enumeration date
January 29, 2024
Last updated
March 18, 2024
Certified
March 18, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA17791 TX

Mailing address

816 W Cannon St
Ft Worth, TX 76104-3194

Other practice locations (1)

  • 816 W Cannon St, Ft Worth, TX 76104-3194 · (817) 321-0499

About Jared Jacques

Jared Daniel Jacques, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 627 Turtle Creek Dr, Tyler, TX 75701-1832. The NPI number 1720840218 was assigned on January 29, 2024 and the record was last updated on March 18, 2024.

Jared Jacques lists a license in the registry: #PA17791 (TX) 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 Jared Daniel Jacques, PA-C?

The NPI number is 1720840218.

What is the phone number of Jared Jacques?

The phone number listed for the practice location is (903) 593-2539.

Where is Jared Jacques located?

627 Turtle Creek Dr, Tyler, TX 75701-1832.

What is the taxonomy code for Jared Jacques?

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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