Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacqueline Jeanette Carter Gustafson, MD

Individual provider Surgery Physician · NPI 1023209632

Dr. Jacqueline Jeanette Carter Gustafson, MD is a General Surgery in Cleveland, Tennessee. Graduated from Loma Linda University School of Medicine in 2005, 21 years ago. Practices with Tennessee Oncology PLLC, a 354-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
21
Trained at
Loma Linda University School of Medicine
Licensed in
TN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2700 Westside Dr NW Ste 204
Cleveland, TN 37312-3682
Phone: (423) 244-9270
Fax: (423) 244-9255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 515 Stonecrest Pkwy Ste 230, Smyrna, TN 37167-6829 — (615) 223-9935

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD67660 (TN)

Record details

NPI number1023209632
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 8, 2007
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Tennessee Oncology Pllc — 354 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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