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General NPI Number Information
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NPI Number | 1124726690
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Entity Type | Individual
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Provider Name | JAKARA DEONTAE HOOD RN
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Gender | Male
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Dates
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Enumeration Date | 02/23/2023
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 265 BOULEVARD NE
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City | ATLANTA
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State | GA
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Zip | 30312-1208
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Country | US
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Telephone | 404-665-8600
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Fax | 404-665-8698
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Provider Business Mailing Address
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Address Line | 1945 SAVOY DR APT 4104
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City | ATLANTA
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State | GA
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Zip | 30341-1059
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Country | US
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Telephone | 678-361-2547
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN305827
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN305827
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License Number State | GA
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