Beverly J Jacks in Chattanooga - Advanced Practice Midwife
Beverly J Jacks - NPI 1003954595
Beverly J Jacks is a Advanced Practice Midwife in Chattanooga, Tennessee. Beverly J Jacks practices all healthcare services and medical treatments related to Advanced Practice Midwife. The NPI Number for Beverly J Jacks is 1003954595. The last update date is 2012-12-04.
Beverly J Jacks's current location address is 6116 Shallowford Rd, Chattanooga, Tennessee. You can contact this provider via phone number 4237025581 and fax number 4237025605. The mailing address for Beverly J Jacks is 6116 Shallowford Rd, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly J Jacks |
|---|---|
| Address | 6116 Shallowford Rd, Chattanooga, Tennessee |
| Phone Number | 4237025581 |
| Fax Number | 4237025605 |
| Sole Proprietor | Y |
| Credentials | CNM, APRN |
NPI Number Detail
| NPI Number | 1003954595 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2012-12-04 |
Provider Mailing Address Detail
| Address | 6116 Shallowford Rd |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 374217201 |
| Phone Number | 4237025581 |
| Fax Number | 4237025605 |
Provider's Primary Taxonomy Detail
| Speciality | Advanced Practice Midwife |
|---|---|
| Taxonomy | 367A00000X |
| Licence No | 5511 |
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Definition: Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwive |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3495196 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Beverly J Jacks?
The Beverly J Jacks has been issued the NPI (National Provider Identifier) 1003954595 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Beverly J Jacks is physically located?
The Beverly J Jacks is situated at the following address: 6116 Shallowford Rd, Chattanooga, TN 374217201.
What is Beverly J Jacks's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Beverly J Jacks is Advanced Practice Midwife, and the taxonomy code that categorizes this field of expertise is 367A00000X.
On what date did the Beverly J Jacks receive its 1003954595 assignment from the Centers for Medicare & Medicaid Services?
The Beverly J Jacks was assigned its 1003954595 by the Centers for Medicare & Medicaid Services on 2007-02-05.
As of what date was the information pertaining to Beverly J Jacks, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Beverly J Jacks, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-12-04.