Jedidiah Odell Tooks, RN
Student in an Organized Health Care Education/Training Program in Atlanta, GA. Individual provider (NPI-1).
NPI number1104730241
StatusActive
Last updated in NPPESSep 28, 2026
Details
- NPI
- 1104730241
- Entity type
- Individual (NPI-1)
- Name
- Jedidiah Odell Tooks
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2026
- Certification date
- Sep 28, 2026
- Last updated
- Sep 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1520 Clifton Rd NeAtlanta, GA 30322-1007
Phone 404-727-6123
Mailing address
201 Dowman Dr NeAtlanta, GA 30322-1007
Phone 404-727-6123
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