Individual provider · Type 1 NPI

Jacqueline Jeanette Carter Gustafson, MD

Surgery Physician · Cleveland, TN

NPI number 1023209632 Active

Practice location

2700 Westside Dr NW Ste 204
Cleveland, TN 37312-3682

Fax (423) 244-9255

Other practice locations

  • 515 Stonecrest Pkwy Ste 230, Smyrna, TN 37167-6829 · (615) 223-9935

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XMD67660 (TN)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1023209632

Jacqueline Jeanette Carter Gustafson, MD's National Provider Identifier is 1023209632, issued on Aug 8, 2007. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Cleveland, TN. The record was last updated on Aug 20, 2024.