Joani L. Jack, MD

Pediatrics Physician · Chattanooga, TN

Individual Active NPI

NPI number 1184698698

Practice location

910 Blackford St
Chattanooga, TN 37403-1405
Phone
(423) 778-6012
Fax
(423) 778-6958

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NPI record

NPI
1184698698
Entity type
Individual (Type 1)
Enumeration date
February 14, 2006
Last updated
November 18, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 24883 TN

About Dr. Jack

Joani L. Jack, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 910 Blackford St, Chattanooga, TN 37403-1405. The NPI number 1184698698 was assigned on February 14, 2006 and the record was last updated on November 18, 2008.

Dr. Jack lists a license in the registry: #24883 (TN) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Joani L. Jack, MD?

The NPI number is 1184698698.

What is the phone number of Dr. Jack?

The phone number listed for the practice location is (423) 778-6012.

Where is Dr. Jack located?

910 Blackford St, Chattanooga, TN 37403-1405.

What is the taxonomy code for Dr. Jack?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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