Individual provider · Type 1 NPI

Beverly J. Jacks, CNM, APRN

Women's Health Nurse Practitioner · Chattanooga, TN

NPI number 1003954595 Active

Practice location

6116 Shallowford Rd, Suite 117
Chattanooga, TN 37421-7201

Fax (423) 702-5605

Specialties and licenses

TaxonomyCodeLicense
Advanced Practice Midwife 367A00000X05511 (TN)
Women's Health Nurse Practitioner Primary 363LW0102X5511 (TN)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1003954595

Beverly J. Jacks, CNM, APRN's National Provider Identifier is 1003954595, issued on Feb 5, 2007. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Chattanooga, TN. The record was last updated on Dec 4, 2012.