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NPI Code Detail

MEDICARE: JEANNAN HAYGOOD

MEDICARE: JEANNAN HAYGOOD
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
11041C0700XClinical Social WorkerSW14149FL

General Provider Information

NPI Number : 1982024006
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNAN HAYGOOD
Provider Business Mailing Address
First Line : 6001 ARGYLE FOREST BLVD STE 21
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32244-6127
Country : US
Telephone Number : 813-966-3030
Fax Number :
Provider Business Practice Location Address
First Line : 145 HERON BAY RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32218-3595
Country : US
Telephone Number : 813-966-3030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2014
Last Update Date : 10/23/2024

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Directions to “ JEANNAN HAYGOOD ” Practice Location

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