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DERMATOLOGY ASSOCIATES LLC
NPI 1750590923
Nurse Practitioner in Jackson, TN

Active since May 22, 2007
2817 N HIGHLAND AVE, SUITE A, JACKSON, TN 38305(731) 661-0061(731) 661-9107 Get Directions Write a Review

NPPES record last updated: March 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dermatology Associates Llc NPPES

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

DERMATOLOGY ASSOCIATES LLC (NPI 1750590923) is a healthcare organization registered as a nurse practitioner in Jackson, Tennessee and active in the NPI registry since May 2007. The organization lists Patricia Craig Booher, Owner, as its authorized official.

NPPES Registry Identity

NPI1750590923
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameDERMATOLOGY ASSOCIATES LLC
Location Address2817 N HIGHLAND AVE, SUITE AJackson, TN 38305-1789
Mailing Address2817 N Highland Ave, Suite AJackson, TN 38305-1789 · (731) 661-0061 · Fax (731) 661-9107
Phone(731) 661-0061
Fax(731) 661-9107
Organization SubpartNo
Authorized OfficialPatricia Craig BooherOwner · (731) 661-0061
Enumeration DateMay 22, 2007
Last NPPES UpdateMarch 4, 2008
✔ NPI 1750590923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · APN 000 000 8039
Definition
(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.
2817 N HIGHLAND AVE, Jackson, TN 38305
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Other Identifiers 4

Medicaid3370114TN
Other7587201Aetna
Other4165097TN · Blue Cross Blue Shield
Medicare PIN3370114TN

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 Dermatology Associates LLC's NPI number?

The NPI number for Dermatology Associates LLC is 1750590923. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Dermatology Associates LLC located?

Dermatology Associates LLC is located at 2817 N Highland Ave Suite A, Jackson, TN 38305. The listed phone number is (731) 661-0061.

What is Dermatology Associates LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Dermatology Associates LLC was last updated on March 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.