MRS. JERICA CHEATHAM NP NPI 1376266437

NPI Information

NPI: 1376266437
Provider Name: MRS. JERICA CHEATHAM, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
933 W RACE ST
KINGSTON, TN
ZIP 37763
Phone: (865) 882-0105
Get Directions

MRS. Jerica Cheatham, NP is a family nurse practitioner in Kingston, TN. MRS. Jerica Cheatham, NP NPI is 1376266437. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

933 W RACE ST
KINGSTON, TN
ZIP 37763-123
Phone: (865) 882-0105
Fax: (833) 908-2083

The NPI 1376266437 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/23/2022 and was last updated on 1/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		2022066506	TENNESSEE	No
2	363LF0000X	Nurse Practitioner	Family	32664	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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