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Jackie A Church, APN

Family Nurse Practitioner in Lebanon, VA · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629126321

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Registry record

Entity type Individual (Type 1)
Name Jackie A Church
Credential APN
Sex Female
Practice address 344 Overlook Dr Ste 200, Lebanon, VA, 24266
Phone (276) 883-5900
Enumeration date Jan 8, 2007
Last updated in NPPES Oct 14, 2025

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 5018685 (NC) Secondary
163W00000X Registered Nurse Nursing Service Providers · License 143764 (TN) Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License APN12537 (TN) Primary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 0024187900 (VA) Secondary

Other identifiers

Identifier Type State Issuer
P01171831 Other TN RR MEDICARE
1629126321 Medicaid NC -
1629126321 Medicaid VA -
3341016 Medicaid TN -
7100236150 Medicaid KY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jackie Church practice?
The practice location on file with NPPES is in Lebanon, VA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jackie Church?
The National Provider Identifier (NPI) for Jackie Church is 1629126321, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-14.