JACOB FLETCHER


Address: 960 E 3rd St, Chattanooga, TN 37403-2104
Phone: 2563889114

JACOB FLETCHER (NPI# 1568997393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568997393
Entity Type Individual
Full Name JACOB FLETCHER
Credential M.D.
Practice Address 960 E 3rd St
Chattanooga
TN 37403-2104
Practice Telephone 2563889114
Mailing Telephone 2563889114
Enumeration Date 2017-04-30
Last Update Date 2017-04-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers JACOB FLETCHER

NPI Name Taxonomy Address Enumeration
1033436852 Jacob Glenn Fletcher Chiropractor 1990 Wadsworth Blvd, Suite #2, Lakewood, CO 80214-5287 2010-05-04
1841758166 Jacob James Fletcher Student in an Organized Health Care Education/Training Program 200 Mullins Dr, Lebanon, OR 97355-3983 2019-03-05

Office Location

Street Address 960 E 3RD ST
City CHATTANOOGA
State TN
Zip Code 37403-2104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467458885 Jackson J Yium Internal Medicine 960 E 3rd St, Ste 208, Chattanooga, TN 37403-2104 2005-06-21
1245850098 Steven Wyatt Colby Student in an Organized Health Care Education/Training Program 960 E 3rd St, Chattanooga, TN 37403-2104 2020-04-22
1891280954 Salah Khidir Abdelgadir Student in an Organized Health Care Education/Training Program 960 E 3rd St, Chattanooga, TN 37403-2104 2018-06-29
1083102388 Spencer Alexander Carter Emergency Medicine 960 E 3rd St, Chattanooga, TN 37403-2104 2018-04-23
1275066441 Matthew Watson Student in an Organized Health Care Education/Training Program 960 E 3rd St, Suite 104, Chattanooga, TN 37403-2104 2017-04-05
1073967410 Luke Lester Couch IIi Student in an Organized Health Care Education/Training Program 960 E 3rd St, Suite 100, Chattanooga, TN 37403-2104 2016-04-22
1265851505 Evon Zoog Student in an Organized Health Care Education/Training Program 960 E 3rd St, Suite 104, Chattanooga, TN 37403-2104 2014-04-15
1356769673 Chase Kluemper Orthopaedic Surgery 960 E 3rd St, Suite 104, Chattanooga, TN 37403-2104 2014-04-03
1154749554 Kimberly Akridge Pediatrics 960 E 3rd St, Suite 104, Chattanooga, TN 37403-2104 2014-04-02
1629415930 Geralynn Alice Williams Student in an Organized Health Care Education/Training Program 960 E 3rd St, Ut College of Medicine Chattanooga, Chattanooga, TN 37403-2104 2013-05-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033771332 Jaimie Mills Specialist/Technologist 103 Metropolitan Building, Chattanooga, TN 37403 2019-07-08
1972092849 Joshua Dale Gebhardt Marriage & Family Therapist 1024 East M L King Blvd, Chattanooga, TN 37403 2018-05-07
1528580750 Klifford Hawkins Physical Therapist 1100 E 3rd St Ste G103, Chattanooga, TN 37403 2017-07-10
1861921470 Jonathan Everett Burden Student in an Organized Health Care Education/Training Program 960 E 3rd St Ste 104, Chattanooga, TN 37403 2017-06-07
1992167092 Majel Victoria Purvis Miles Student in an Organized Health Care Education/Training Program 979 E 3rd St Ste 401, Chattanooga, TN 37403 2016-03-28
1972942902 Danielle Nessly Nurse Practitioner 730 East 11th Street, Chattanooga, TN 37403 2013-06-24
1023453271 Nathan Claydon Internal Medicine 960 East 3rd St, Suite 104, Chattanooga, TN 37403 2013-05-01
1336482603 Veronica Patterson Zachry Student in an Organized Health Care Education/Training Program 975 E. 3rd Street, Chattanooga, TN 37403 2013-04-04
1639420417 Ctr. for Individual & Family Effectiveness Community/Behavioral Health 310 E. 8th St., Ste. C, Chattanooga, TN 37403 2012-09-20
1063773521 Shelley L Murphy Emergency Medicine 1018 Blackford Street, Chattanooga, TN 37403 2012-05-31
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851920037 Samit Sunny Roy Student in an Organized Health Care Education/Training Program 979 E 3rd St Ste C-535, Chattanooga, TN 37403-2136 2020-04-08
1285195297 Robert Chace Hicks Student in an Organized Health Care Education/Training Program 979 E 3rd St Ste B401, Chattanooga, TN 37403-2136 2019-03-31
1427555309 Michael S Tonzi Student in an Organized Health Care Education/Training Program 979 E 3rd St Ste C535, Chattanooga, TN 37403-3333 2018-04-09
1265939268 Marc Douglas Erickson Student in an Organized Health Care Education/Training Program 975 E 3rd St # 112, Chattanooga, TN 37403-2147 2018-04-07
1124525258 Daniel T. Miles Student in an Organized Health Care Education/Training Program 975 E 3rd St # 260, Chattanooga, TN 37403-2147 2018-04-06
1861921470 Jonathan Everett Burden Student in an Organized Health Care Education/Training Program 960 E 3rd St Ste 104, Chattanooga, TN 37403 2017-06-07
1073046561 Cynthia Groves Student in an Organized Health Care Education/Training Program 706 Tiger Lily Trl, Chattanooga, TN 37415 2017-04-11
1619400751 Elisabeth Cydnie Bedford Brenner Student in an Organized Health Care Education/Training Program 979 E 3rd St Ste C720, Chattanooga, TN 37403-3329 2017-04-05
1447782818 Alyssa Denise Brown Student in an Organized Health Care Education/Training Program 9123 Berkshire Cir, Chattanooga, TN 37421-4444 2017-04-03
1194179523 Franklin Brent Davis Jr. Student in an Organized Health Care Education/Training Program 960 E 3rd St Ste 202, Chattanooga, TN 37403-2104 2016-04-21
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Competitor

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City CHATTANOOGA
Zip Code 37403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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