Agnes Reene Jakes, is a
Nurse Practitioner - Psychiatric/mental Health based in Ellerslie, Georgia. Agnes Reene Jakes is licensed to practice in Georgia (license number RN306752) and her current practice location is
500 Pike Dr, Ellerslie, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 593-5539.
NPI number for Agnes Reene Jakes is 1962208694 and her current mailing address is 500 Pike Dr, Ellerslie, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962208694.
Provider's Profile
Full Name | Agnes Reene Jakes |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 500 Pike Dr, Ellerslie, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962208694
- Provider Enumeration Date: 02/24/2025
- Last Update Date: 02/24/2025
Medical Identifiers
Medical identifiers for Agnes Reene Jakes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962208694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN306752 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Agnes Reene Jakes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Agnes Reene Jakes, 500 Pike Dr, Ellerslie, GA 31807-5548 Ph: (706) 593-5539 | Agnes Reene Jakes, 500 Pike Dr, Ellerslie, GA 31807-5548 Ph: (706) 593-5539 |
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