Provider Demographics
NPI:1407857485
Name:WASHINGTON, JACQUELINE MCFARLAND (MD)
Entity Type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:MCFARLAND
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 WEST END AVE.
Mailing Address - Street 2:SUITE 800
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203
Mailing Address - Country:US
Mailing Address - Phone:615-345-5400
Mailing Address - Fax:888-468-6603
Practice Address - Street 1:2634 DANFORTH LN.
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033
Practice Address - Country:US
Practice Address - Phone:615-346-8732
Practice Address - Fax:888-468-6603
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2017-04-27
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-03-28
Provider Licenses
StateLicense IDTaxonomies
GA32493204D00000X
GA0324932084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME127689OtherFL STATE LICENSE
GA00443913DMedicaid
GA00443913DMedicaid
FLME127689OtherFL STATE LICENSE