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

Dr. Jamie Lynn Jaqua, MD

Individual provider Pediatric Emergency Medicine (Pediatrics) Physician · NPI 1639360811

Dr. Jamie Lynn Jaqua, MD is a Pediatric Emergency Medicine (Pediatrics) Physician in San Antonio, Texas. Licensed in North Carolina and Texas. Registered with an NPI since 2007.

Licensed in
NC, TX
In the registry since
2007
Specialties on file
3
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

520 Madison Oak Dr
San Antonio, TX 78258-3912
Phone: (210) 297-4050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence P6362 (TX)
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X · Licence P6362 (TX)
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X · Licence 2010-01200 (NC)

Record details

NPI number1639360811
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 5, 2007
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024

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