Beverly J Jacks is a Chattanooga, Tennessee based nurse practitioner. 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 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 (NP)
Gender:
Female
Credentials:
CNM, APRN
Practice Address:
6116 Shallowford Rd, Suite 117, Chattanooga, Tennessee, 37421-7201
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:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.