Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACKIE GWENN TAWODA, FNP
ActiveFamily Nurse Practitioner · PINEVILLE, KY
Registration Details
- NPI Number
- 1487368049
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2023 (3.3120765603631 yrs)
- Last Updated
- Oct 21, 2024
- License
-
3018842 (KY)
Practice Information
- Address
-
850 RIVERVIEW AVEPINEVILLE, KY, 409771452Browse KY providers · Browse ZIP 40977
- Phone
- 6066544526
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in PINEVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| MR. TRAMPAS S NOLAN | ARNP | 1033144191 |
| TIFFENY JEAN TREECE | APRN | 1295760718 |
| MRS. ELEANOR LIFORD | APRN | 1528323672 |
| MR. TERRY DAVID PANNELL | RN | 1659611655 |
| AMANDA LOUANNE MILLS GANN | APRN | 1003282450 |
| MARY CATHERINE CARUSO | APRN | 1760980882 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.