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Organization

PERSONALIZED HEALTHCARE FOR WOMEN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BEVERLY JACKS CNM, APN (OWNER)
(423) 702-5581
Entity
Organization

Contact information

Practice address
6116 SHALLOWFORD RD, SUITE 117, CHATTANOOGA, TN 37421-7201
(423) 702-5581
(423) 702-5605
Mailing address
6116 SHALLOWFORD RD, SUITE 117, CHATTANOOGA, TN 37421-7201
(423) 702-5581
(423) 702-5605

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APN05511
TN

Other

Enumeration date
11/13/2008
Last updated
02/27/2009
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