NPI 1083143671

Jacqueline Renee Booth, MD

Practitioner Plastic Surgery within the Head & Neck (Otolaryngology) Physician Oak Ridge, TN

Practice location

Address: 800 Oak Ridge Tpke STE C100, Oak Ridge, TN 37830-6927
Phone: (865) 483-2288
Fax: (865) 482-4400

Registered specialties (2)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0007X Licence 74273 (TN)

Other Otolaryngology providers in Tennessee →

Otolaryngology Physician

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 009101 (GA)

Registry record

NPI: 1083143671
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jun 2017
Record last updated: 22 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.