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NPI Code Detail

MEDICARE: JACOB QUAVE

MEDICARE: JACOB QUAVE
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1881535144
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB QUAVE
Provider Business Mailing Address
First Line : 13725 JOHN LEE RD
Second Line :
City : BILOXI
State : MS
Zip : 39532-9653
Country : US
Telephone Number : 228-697-3546
Fax Number : 228-697-3546
Provider Business Practice Location Address
First Line : 3109 BIENVILLE BLVD
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-4361
Country : US
Telephone Number : 228-818-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2026
Last Update Date : 04/02/2026

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Directions to “ JACOB QUAVE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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