JACQUELINE RENEE BOOTH MD NPI 1083143671

NPI Details

Jacqueline Renee Booth, MD is a plastic surgery within the head and neck otolaryngology in Oak Ridge, TN with 9 years of experience. The provider is 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 surgeries are practiced, there are many additional procedures which interface with them. Jacqueline Renee Booth, MD NPI is 1083143671. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

800 OAK RIDGE TPKE STE C100
OAK RIDGE, TN
ZIP 37830-927
Phone: (865) 483-2288
Fax: (865) 482-4400

The NPI 1083143671 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 6/7/2017 and was last updated on 8/22/2025.

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: