JAQUEL PERDUE


Address: 1055 Princeton Park, Montevallo, AL 35115-8913
Phone: 2052661403

JAQUEL PERDUE (NPI# 1760812382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760812382
Entity Type Individual
Full Name JAQUEL PERDUE
Practice Address 1055 Princeton Park
Montevallo
AL 35115-8913
Practice Telephone 2052661403
Mailing Telephone 2052661403
Enumeration Date 2013-11-18
Last Update Date 2013-11-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172A00000X Driver 46-4120981 AL Other Service Providers

Office Location

Street Address 1055 PRINCETON PARK
City MONTEVALLO
State AL
Zip Code 35115-8913

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063555001 Michael Trent Chadwick Specialist/Technologist University of Montevallo, Athletics Station 6602, Montevallo, AL 35115 2007-02-15
1629179239 Family Medical Services, Inc. Durable Medical Equipment & Medical Supplies 3990 Hwy 25, Montevallo, AL 35115 2006-09-26
1679088066 Adrienne Mccollum Counselor 711 Wadsworth St Unit 200, Montevallo, AL 35115-3531 2017-12-06
1710005343 Bobby Ferris Shunnarah Dentist 711 Wadsworth St, Montevallo, AL 35115-3531 2007-03-26
1639647886 Inspire Counseling, LLC Counselor 711 Wadsworth St Unit 200, Montevallo, AL 35115-3531 2018-11-06
1821600115 James Eason Maddox Pharmacist 1380 Highland St, Montevallo, AL 35115-3570 2020-08-19
1720064058 Jonathan C. Merkle Family Medicine 33 Salem Rd, Suite 1, Montevallo, AL 35115-3586 2005-12-19
1891257390 Health Services Inc Clinic/Center 33 Salem Rd, Montevallo, AL 35115-3586 2019-04-03
1356535157 Lister Healthcare Corporation Internal Medicine 33 Salem Rd, Suite 2, Montevallo, AL 35115-3586 2007-09-05
1720009962 Montevallo Family Medicine, LLC Family Medicine 33 Salem Rd, Suite 1, Montevallo, AL 35115-3586 2006-07-22
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Taxonomy Information

Taxonomy Code 172A00000X
Grouping Other Service Providers
Classification Driver

Taxonomy Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831799493 Teakeya Lashay Williams Driver 111 Danya Ct, Prattville, AL 36067-6256 2020-10-31
1124656657 Darlene C Reddix Driver 301 N Lafayette St, Mobile, AL 36603-5126 2020-03-30
1508490855 Daniel Mwangi Githome Driver 108 Juniper Cir, Pelham, AL 35124-3906 2020-02-25
1295373264 Kreative Kare In Home Services Inc Driver 2905 Westcorp Blvd Suite 213-d, Huntsville, AL 35805 2019-12-20
1659934586 Stewarts Transport Driver 2833 Woodley Rd, Montgomery, AL 36111-2840 2019-04-16
1194288811 Latavia Randolph Driver 2703 Beverly P Washington St, Prichard, AL 36613-3449 2019-04-09
1700348364 Antuan Dejesus Driver 3433 S Court St, Montgomery, AL 36105-1607 2019-04-03
1285198689 Tayla Cox Driver 915 S 6th St, Gadsden, AL 35901-5152 2019-01-30
1073077640 Patrick Howard Driver 2019 Rexford Rd, Montgomery, AL 36116-1121 2019-01-28
1821560954 James Clifton Blutcher Driver 3112 Avenue F, Birmingham, AL 35218-2510 2018-12-31
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Competitor

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City MONTEVALLO
Zip Code 35115

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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