Dermatology Associates LLC
NPI 1750590923ActiveOrganization· Nurse Practitioner· Jackson, TN
Nurse Practitioner in Jackson, Tennessee, registered in NPPES in May 2007. The authorized official on file is Patricia Craig Booher, NURSE PRACTITIONER, Owner.
Overview
| NPI | 1750590923 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 22, 2007 |
| Last updated in NPPES | Mar 4, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APN 000 000 8039 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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