MEDICARE: JADE HEBERT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1629810064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JADE HEBERT

Provider Business Mailing Address
First Line	:	15708 TISONS BLUFF RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-0122
Country	:	US
Telephone Number	:	904-707-5849
Fax Number	:

Provider Business Practice Location Address
First Line	:	7855 ARGYLE FOREST BLVD STE 910
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-7707
Country	:	US
Telephone Number	:	904-707-5849
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2024
Last Update Date	:	06/12/2024

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Directions to “ JADE HEBERT ” Practice Location

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