Dr. Joelle Jean-Jacques, OD
Optometrist in Mcdonough, GA. Individual provider (NPI-1).
NPI number1316590995
StatusActive
Last updated in NPPESAug 13, 2024
Details
- NPI
- 1316590995
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joelle Jean-Jacques
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2019
- Certification date
- Aug 13, 2024
- Last updated
- Aug 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT003169 | GA | Yes |
Practice location
1044 Avalon PkwyMcdonough, GA 30253-7661
Phone 770-898-7078 · Fax 770-898-7160
Mailing address
8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442
Phone 703-847-8899 · Fax 571-223-6780
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