Individual provider · Type 1 NPI

Jacqueline Renee Booth, MD

Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Oak Ridge, TN

NPI number 1083143671 Active

Practice location

800 Oak Ridge Tpke Ste C100
Oak Ridge, TN 37830-6927

Fax (865) 482-4400

Other practice locations

  • 1855 Tanner Way Ste 130, Harriman, TN 37748-8332 · (865) 882-1600
  • 109 Independence Ln Ste 500, La Follette, TN 37766-3040 · (423) 562-9744

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician 207Y00000X009101 (GA)
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary 207YX0007X74273 (TN)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeri…

3 other providers at this address

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About NPI 1083143671

Jacqueline Renee Booth, MD's National Provider Identifier is 1083143671, issued on Jun 7, 2017. The primary taxonomy on file is Plastic Surgery within the Head & Neck (Otolaryngology) Physician (207YX0007X), and the practice location is in Oak Ridge, TN. The record was last updated on Aug 22, 2025.