Dermatology Associates LLC

NPI #1750590923 in Jackson, Tennessee

Provider Information

NPI Number
1750590923
Entity Type
Organization
Organization Name
Dermatology Associates LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
May 22, 2007
Last Updated
Mar 4, 2008

Practice Location

Address
2817 N HIGHLAND AVE
Address 2
SUITE A
ZIP Code
38305-1789
Phone
(731) 661-0061

Authorized Official

Name
MS. PATRICIA CRAIG BOOHER, NURSE PRACTITIONER
Title
OWNER
Phone
(731) 661-0061

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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