Beverly J Jacks
CNM, APRN | Nurse Practitioner
6116 Shallowford Rd, Suite 117, Chattanooga
Tennessee, 37421-7201
423-702-5581
Beverly J Jacks is a Chattanooga, Tennessee based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Beverly J Jacks is 5511 for Women Health in Tennessee. Her current practice location is 6116 Shallowford Rd, Suite 117, Chattanooga. Patients can reach her at 423-702-5581 or can fax her at 423-702-5605. Beverly J Jacks is CNM, APRN with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1003954595.
Beverly J Jacks has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Beverly J Jacks speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Beverly J Jacks |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | CNM, APRN |
| Practice Address: | 6116 Shallowford Rd, Suite 117, Chattanooga,
Tennessee, 37421-7201 |
| Phone: | 423-702-5581 |
| Fax: | 423-702-5605 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1003954595 |
| NPI Enumeration Date: | 05 Feb, 2007 |
| NPI Last Update On: | 04 Dec, 2012 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Beverly J Jacks are as mentioned below.
| License Number | Specialization | State | Status | |
| 5511 | Women Health | Tennessee | Primary | |
| 05511 | Advanced Practice Midwife | Tennessee | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Beverly J Jacks such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3495196 | Medicaid | Tennessee | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Beverly J Jacks
6116 Shallowford Rd, Suite 117
Chattanooga, Tennessee |
| Zip: | 37421-7201 |
| Phone Number: | 423-702-5581 |
| Fax Number: | 423-702-5605 |
Patients can reach Beverly J Jacks at
6116 Shallowford Rd, Suite 117, Chattanooga, Tennessee or can
call to book an appointment on 423-702-5581.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.