Jackie Church, APN
NPI 1629126321 · Family Nurse Practitioner · Lebanon, VA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackie Church, APN is a Family Nurse Practitioner provider in Lebanon, VA (NPI 1629126321).
Provider details
- NPI number
- 1629126321
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- License
- 5018685 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
11 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (10)
- 108 Park AveBanner Elk, NC 28604-6604Phone: (828) 783-9183
- 1 Medical Park Blvd Ste 102wBristol, TN 37620-7430Phone: (423) 844-1121
- 1500 W Elk AveElizabethton, TN 37643-2654Phone: (423) 543-2584Fax: (423) 722-2060
- 2030 Temple Hill RdErwin, TN 37650-8721Phone: (423) 735-4700
- 1420 Tusculum BlvdGreeneville, TN 37745-4279Phone: (423) 787-5000
- 400 N State of Franklin RdJohnson City, TN 37604-6035Phone: (423) 431-6111
- 130 W Ravine RdKingsport, TN 37660-3837Phone: (423) 239-9737
- 111 W Stone Dr Ste 110Kingsport, TN 37660-6027Phone: (423) 224-3701
- 2000 Brookside DrKingsport, TN 37660-4627Phone: (423) 857-7000
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2025-10-14
- Certified
- 2025-10-14
Frequently asked questions
- What is Jackie Church's NPI number?
- Jackie Church's National Provider Identifier (NPI) is 1629126321, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Church's specialty?
- Jackie Church is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jackie Church located?
- Jackie Church's practice location on file with NPPES is 344 Overlook Dr Ste 200, Lebanon, VA 24266-3436.
- What is Jackie Church's phone number?
- The practice phone number listed in the NPPES registry for Jackie Church is (276) 883-5900.
- Does Jackie Church accept Medicare?
- Jackie Church is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jackie Church's NPI active?
- Yes — Jackie Church's NPI (1629126321) is active in the NPPES registry as of the last update on 2025-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.