IndividualActive
Agnes Jakes
NPI 1962208694 · Psychiatric/Mental Health Nurse Practitioner · Ellerslie, GA
Provider details
- NPI number
- 1962208694
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN306752 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
500 Pike Dr
Ellerslie, GA 31807-5548
Phone: (706) 593-5539
Approximate (ZIP-level) locationGet directions
Mailing address
500 Pike Dr
Ellerslie, GA 31807-5548
Registry dates
- Enumerated
- 2025-02-24
- Last updated
- 2025-02-24
- Certified
- 2025-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.