BEYOUTIFUL SKIN AND LASER CENTER NPI 1952724213

NPI Information

NPI: 1952724213
Provider Name: BEYOUTIFUL SKIN AND LASER CENTER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
4066 HIXSON PIKE
CHATTANOOGA, TN
ZIP 37415
Phone: (423) 877-3568
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BEYOUTIFUL SKIN AND LASER CENTER is a family nurse practitioner in Chattanooga, TN. BEYOUTIFUL SKIN AND LASER CENTER NPI is 1952724213. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4066 HIXSON PIKE
CHATTANOOGA, TN
ZIP 37415-110
Phone: (423) 877-3568
Fax: (423) 877-9332

The provider's authorized official is Eddie D Jenkins .
The authorized official title is Gm and has the following contact phone number (423) 877-3568.

The enumeration date for this NPI number is 1/22/2014 and was last updated on 1/22/2014.

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	363AM0700X	Physician Assistant	Medical	PA0000000981	TENNESSEE	No
2	363LF0000X	Nurse Practitioner	Family	8749977	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: 11/14/2023

NPI Synchronization or Removal

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