Individual
DR. JAMIE LYNN JAQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 MADISON OAK DR, SAN ANTONIO, TX 78258-3912
(210) 297-4050
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 994-4731
(330) 409-8898
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P6362
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2010-01200
NC
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
P6362
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4661837281
MYUTMB 4661837281
—
05
—
5920138
—
NC
Enumeration date
08/05/2007
Last updated
03/12/2024
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