Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacques Prejean, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770264806

Dr. Jacques Prejean, MD is a Student in an Organized Health Care Education/Training Program in Fort Moore, Georgia. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Phone: (206) 484-7480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770264806
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023
Mailing address6600 Van Aalst Blvd, Fort Moore, GA 31905-2102

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