Gweneth Ferdinand-Jacob in Clarksville - Medical
Gweneth Ferdinand-Jacob - NPI 1922074459
Gweneth Ferdinand-Jacob is a Medical in Clarksville, Tennessee. Gweneth Ferdinand-Jacob practices all healthcare services and medical treatments related to Medical. The NPI Number for Gweneth Ferdinand-Jacob is 1922074459. The last update date is 2012-04-17.
Gweneth Ferdinand-Jacob's current location address is 763 Mcclain Dr, Clarksville, Tennessee. You can contact this provider via phone number 9319061823 and fax number 7313527644. The mailing address for Gweneth Ferdinand-Jacob is 763 Mcclain Dr, Clarksville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gweneth Ferdinand-Jacob |
|---|---|
| Address | 763 Mcclain Dr, Clarksville, Tennessee |
| Phone Number | 9319061823 |
| Fax Number | 7313527644 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1922074459 |
|---|---|
| Provider Enumeration Date | 2006-02-24 |
| Last Updated Date | 2012-04-17 |
Provider Mailing Address Detail
| Address | 763 Mcclain Dr |
|---|---|
| City | Clarksville |
| State | Tennessee (TN) |
| Post Code | 370405695 |
| Phone Number | 9319061823 |
| Fax Number | 7313527644 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA969 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the Gweneth Ferdinand-Jacob's unique identification number?
The Gweneth Ferdinand-Jacob has been assigned the NPI (National Provider Identifier) Number 1922074459 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Gweneth Ferdinand-Jacob?
The Gweneth Ferdinand-Jacob is situated at 763 Mcclain Dr, in the city of Clarksville, state of TN, with the zip code 370405695.
What is the Gweneth Ferdinand-Jacob's specialty and taxonomy code?
The Gweneth Ferdinand-Jacob's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922074459 to Gweneth Ferdinand-Jacob?
The Centers for Medicare & Medicaid Services assigned the 1922074459 to Gweneth Ferdinand-Jacob on 2006-02-24.
When was the information related to Gweneth Ferdinand-Jacob most recently updated or refreshed?
The details pertaining to the Gweneth Ferdinand-Jacob, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-04-17.