Provider Demographics
NPI:1124726690
Name:HOOD, JAKARA DEONTAE (RN)
Entity type:Individual
Prefix:
First Name:JAKARA
Middle Name:DEONTAE
Last Name:HOOD
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1945 SAVOY DR APT 4104
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-1059
Mailing Address - Country:US
Mailing Address - Phone:678-361-2547
Mailing Address - Fax:
Practice Address - Street 1:265 BOULEVARD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-1208
Practice Address - Country:US
Practice Address - Phone:404-665-8600
Practice Address - Fax:404-665-8698
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-23
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN305827163WM0705X, 163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical