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BEVERLY J JACKS CNM, APRN
NPI 1003954595
Nurse Practitioner - Women's Health in Chattanooga, TN

Active since February 05, 2007
6116 SHALLOWFORD RD, SUITE 117, CHATTANOOGA, TN 37421(423) 702-5581(423) 702-5605 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beverly J Jacks Cnm, Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY J JACKS CNM, APRN (NPI 1003954595) is an individual women's health provider in Chattanooga, Tennessee, licensed in Tennessee (5511) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1003954595
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameBEVERLY J JACKSCredential: CNM, APRN
Location Address6116 SHALLOWFORD RD, SUITE 117Chattanooga, TN 37421-7201
Mailing Address6116 Shallowford Rd, Suite 117Chattanooga, TN 37421-7201 · (423) 702-5581 · Fax (423) 702-5605
Phone(423) 702-5581
Fax(423) 702-5605
Sole ProprietorYes
Enumeration DateFebruary 5, 2007
Last NPPES UpdateDecember 4, 2012
✔ NPI 1003954595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in TN · 5511
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 05511 (TN)
6116 SHALLOWFORD RD, Chattanooga, TN 37421
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Other Identifiers 3

Medicare ID-Type Unspecified3495196TN
Medicaid3495196TN
Medicare UPIN3495196TN

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMFORT FOOT CARE LLC
Podiatrist (Foot & Ankle Surgery)
6116 SHALLOWFORD RD, STE 118
CHATTANOOGA, TN 37421
Hamilton County (423) 710-1224
GUARDIAN HOME CARE, LLC
Home Health
6116 SHALLOWFORD RD, SUITE 114
CHATTANOOGA, TN 37421
Hamilton County (423) 855-6233
CALLIE SCROGGINS
Behavior Technician
6116 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (844) 244-1818
MS. ELLA BROOKLYN CULPEPPER BEHAVIOR TECHNICIAN
Behavior Technician
6116 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (844) 244-1818
ELITE BEHAVIOR ANALYSIS, LLC
Behavior Analyst
6116 SHALLOWFORD RD, SUITE 201
CHATTANOOGA, TN 37421
Hamilton County (423) 531-7497
ALEXANDRA ADAIR ANDREUCCETTI
Behavior Technician
6116 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (423) 556-3714
EMMA KATE FAUCETT
Behavior Technician
6116 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (844) 854-1116
PERSONALIZED HEALTHCARE FOR WOMEN LLC
Advanced Practice Midwife
6116 SHALLOWFORD RD, SUITE 117
CHATTANOOGA, TN 37421
Hamilton County (423) 702-5581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Jacks's NPI number?

The NPI number for Beverly Jacks is 1003954595. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Beverly Jacks located?

Beverly Jacks practices at 6116 Shallowford Rd Suite 117, Chattanooga, TN 37421. The listed phone number is (423) 702-5581.

What is Beverly Jacks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Beverly Jacks was last updated on December 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.