IndividualActive
Beverly Jacks, CNM, APRN
NPI 1003954595 · Women's Health Nurse Practitioner · Chattanooga, TN
Provider details
- NPI number
- 1003954595
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM, APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 05511 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6116 Shallowford Rd
Suite 117
Chattanooga, TN 37421-7201
Phone: (423) 702-5581
Fax: (423) 702-5605
Approximate (ZIP-level) locationGet directions
Mailing address
6116 Shallowford Rd
Chattanooga, TN 37421-7201
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2012-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.