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ACNE & ROSACEA CLINICS
NPI 1356593545
Nurse Practitioner - Family in Jackson, TN

Active since October 21, 2008
907 VANN DRIVE SUITE M, JACKSON, TN 38305(731) 668-5000(731) 668-5122 Get Directions Write a Review

NPPES record last updated: October 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Acne & Rosacea Clinics NPPES

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

ACNE & ROSACEA CLINICS (NPI 1356593545) is a healthcare organization registered as a family in Jackson, Tennessee and active in the NPI registry since October 2008. The organization lists Mary Beth Cox, Owner, as its authorized official.

NPPES Registry Identity

NPI1356593545
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameACNE & ROSACEA CLINICS
Location Address907 VANN DRIVE SUITE MJackson, TN 38305-6046
Mailing Address907 Vann Drive Ste M, Po Box 11537Jackson, TN 38012-6046 · (731) 668-5000 · Fax (731) 668-5122
Phone(731) 668-5000
Fax(731) 668-5122
Organization SubpartNo
Authorized OfficialMary Beth CoxOwner · (731) 668-5000
Enumeration DateOctober 21, 2008
✔ NPI 1356593545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · APN8135
907 VANN DRIVE SUITE M, Jackson, TN 38305
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Other Identifiers 3

Medicare UPINP55449TN
Medicaid3906025TN
Medicare PIN3906025TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Acne & Rosacea Clinics's NPI number?

The NPI number for Acne & Rosacea Clinics is 1356593545. It was assigned to this organization in the NPPES registry on October 21, 2008.

Where is Acne & Rosacea Clinics located?

Acne & Rosacea Clinics is located at 907 Vann Drive Suite M, Jackson, TN 38305. The listed phone number is (731) 668-5000.

What is Acne & Rosacea Clinics's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Acne & Rosacea Clinics was last updated on October 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.