Dermatology Associates Llc

LBN: Dermatology Associates Llc
Dermatology Associates Llc is an health care organization with primary practice located at 2817 N Highland Ave Suite A, Jackson TN 38305-1789. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Dermatology Associates Llc can be contacted via phone (731) 661-0061, or through Booher, Patricia Craig via phone (731) 661-0061.

Contact Information

Primary practice address
2817 N Highland Ave Suite A Jackson TN 38305-1789
Phone: (731) 661-0061
Fax: (731) 661-9107
Website:
Map and Directions
Authorized official contact:
Name: Booher, Patricia Craig NURSE PRACTITIONER
Phone: (731) 661-0061

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN 000 000 8039 Tennessee

Profile Details

NPI number 1750590923
LBN Legal business name Dermatology Associates Llc
DBA Doing business as
Authorized official Booher, Patricia Craig NURSE PRACTITIONER
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Mar 4th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750590923 NPPES
Other 7587201 AETNA
MEDICAID 3370114 AETNA
Other 4165097 AETNA

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