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DERMATOLOGY ASSOCIATES LLC NPI 1750590923


NPI Information

NPI: 1750590923
Provider Name: DERMATOLOGY ASSOCIATES LLC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 44D2171640

Address:
2817 N HIGHLAND AVE
SUITE A
JACKSON, TN
ZIP 38305
Phone: (731) 661-0061
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DERMATOLOGY ASSOCIATES LLC is a nurse practitioner in Jackson, TN. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. DERMATOLOGY ASSOCIATES LLC NPI is 1750590923. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2817 N HIGHLAND AVE
SUITE A
JACKSON, TN
ZIP 38305-789
Phone: (731) 661-0061
Fax: (731) 661-9107

The provider's authorized official is Patricia Craig Booher .
The authorized official title is Owner and has the following contact phone number (731) 661-0061.

The CLIA number assigned to this NPI record is 44D2171640 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 3/4/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerAPN 000 000 8039TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13370114MEDICAIDTENNESSEE
27587201OTHERAETNA
34165097OTHERTENNESSEEBLUE CROSS BLUE SHIELD
43370114MEDICARE PINTENNESSEE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.