person
Jackie A Church, APN
Family Nurse Practitioner in Kingsport, Tennessee
NPI 1629126321

Jackie A Church is a Family Nurse Practitioner based in Johnson City, TN and is specialized in Family. Jackie A Church practices in Kingsport, TN and has the professional credentials of APN. The NPI Number for Jackie A Church is 1629126321 and holds a License No. 143764 (Tennessee).

The current practice location address for Jackie A Church is 4600 Fort Henry Dr, Kingsport, TN and can be reached out via phone at 423-224-3950. You can also correspond with Jackie A Church through the mailing address at 1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN - 37604-2192 (mailing address contact number: 423-302-6565).

Location: 4600 Fort Henry Dr, Kingsport, TN, 37604-2192
person
Provider Profile Details
NPI Number
1629126321
Provider Name
Jackie A Church
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
4600 Fort Henry Dr, Kingsport, TN, 37604-2192
Phone Number
423-224-3950
Fax Number
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01171831 01 TN RR MEDICARE
1629126321 05 NC
1629126321 05 VA
3341016 05 TN
7100236150 05 KY
institution
Provider Business Practice Location Address Details
Address
4600 Fort Henry Dr
City
State
Zip
37663-2617
Phone Number
423-224-3950
Fax Number
person
Provider Business Mailing Address Details
Address
1021 W Oakland Ave Ste 310
City
State
Zip
37604-2192
Phone Number
423-302-6565
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
-
Taxonomy
License No.
5018685 (North Carolina)
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
0024187900 (Virginia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
143764 (Tennessee)
Definition
Definition to come...
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