MR. JACOB TYLER WAUGH RRNA
NPI 1447126651
Registered Nurse - School in Dothan, AL
Active since October 14, 2025
About Mr. Jacob Tyler Waugh Rrna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JACOB TYLER WAUGH RRNA (NPI 1447126651) is an individual school provider in Dothan, Alabama, licensed in Alabama (1-178236) and active in the NPI registry since October 2025.
NPPES Registry Identity
NPI1447126651
Entity TypeIndividualMale
Primary Taxonomy163WS0200X
Provider Legal NameMR. JACOB TYLER WAUGHCredential: RRNA
Location Address4370 W MAIN STDothan, AL 36305-4000
Mailing Address4370 W Main StDothan, AL 36305-4000 · (334) 793-5000
Phone(334) 793-5000
Sole ProprietorNo
Enumeration DateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1447126651 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in AL · 1-178236
4370 W MAIN ST, Dothan, AL 36305
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Pathology (Anatomic Pathology & Clinical Pathology)
4370 W MAIN ST
DOTHAN, AL 36305
DOTHAN, AL 36305
Pathology (Anatomic Pathology & Clinical Pathology)
4370 W MAIN ST
DOTHAN, AL 36305
DOTHAN, AL 36305
Pathology (Anatomic Pathology & Clinical Pathology)
4370 W MAIN ST
DOTHAN, AL 36305
DOTHAN, AL 36305
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447126651, enumerated as an "individual" on October 14, 2025.
The provider is located at 4370 W MAIN ST DOTHAN, AL 36305 and the phone number is (334) 793-5000.
Registered Nurse with taxonomy code 163WS0200X and a focus in School.
