Jackie A Church
APN | Nurse Practitioner - Family | 19+ years Exp
344 Overlook Dr Ste 200, Lebanon
Virginia, 24266-3436
276-883-5900
Jackie A Church is a Lebanon, Virginia based nurse practitioner with 19 years of experience in Family. She completed her graduation in 2006. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jackie A Church is APN12537 for Family in Tennessee. Her current practice location is 344 Overlook Dr Ste 200, Lebanon. Patients can reach her at 276-883-5900. Jackie A Church is APN with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1629126321.
Jackie A Church delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Jackie A Church speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jackie A Church |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Credentials: | APN |
| Experience: | 19+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2006 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 344 Overlook Dr Ste 200, Lebanon,
Virginia, 24266-3436 |
| Phone: | 276-883-5900 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1153420195 |
| Enrollment ID: | I20070615000550 |
| NPI Number: | 1629126321 |
| NPI Enumeration Date: | 08 Jan, 2007 |
| NPI Last Update On: | 14 Oct, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jackie A Church are as mentioned below.
| License Number | Specialization | State | Status | |
| APN12537 | Family | Tennessee | Primary | |
| 5018685 | Family | North Carolina | Secondary | |
| 143764 | Registered Nurse | Tennessee | Secondary | |
| 0024187900 | Family | Virginia | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jackie A Church is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Tri-cities Regional Emergency Physicians, Pc (3678859477) | 132 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jackie A Church such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| P01171831 | Other | Tennessee | RR MEDICARE |
| 1629126321 | Medicaid | North Carolina | |
| 1629126321 | Medicaid | Virginia | |
| 3341016 | Medicaid | Tennessee | |
| 7100236150 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jackie A Church
1021 W Oakland Ave Ste 310,
Johnson City, Tennessee |
| Zip: | 37604-2192 |
| Phone Number: | 423-952-2111 |
| Fax Number: | 423-282-1657 |
Patients can reach Jackie A Church at
344 Overlook Dr Ste 200, Lebanon, Virginia or can
call to book an appointment on 276-883-5900.
Comments/ Reviews:
Patients can read all the reviews posted for Jackie A Church below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Jackie A Church. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.