Individual provider · Type 1 NPI
Gweneth Ferdinand-Jacob, PA-C
Medical Physician Assistant · Clarksville, TN
NPI number
1922074459
Active
Practice location
763 Mcclain Dr
Clarksville, TN 37040
Fax (731) 352-7644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA969 (TN) |
Medical Physician Assistant: Definition to come...
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About NPI 1922074459
Gweneth Ferdinand-Jacob, PA-C's National Provider Identifier is 1922074459, issued on Feb 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Clarksville, TN. The record was last updated on Apr 17, 2012.