MRS. JACLYN JEANAI PETTIGREW
NPI 1346914744
Licensed Practical Nurse in Union City, TN

Q: What is Jaclyn Pettigrew's NPI number?

The NPI number for Jaclyn Pettigrew is 1346914744. It was assigned to this individual provider in the NPPES registry on August 9, 2021.

Q: What is Jaclyn Pettigrew's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Pettigrew was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 09, 2021

1008 MOUNT ZION RD, UNION CITY, TN 38261(731) 885-8722 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Jaclyn Jeanai Pettigrew NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACLYN JEANAI PETTIGREW (NPI 1346914744) is an individual licensed practical nurse in Union City, Tennessee, licensed in Tennessee (95995) and active in the NPI registry since August 2021. She maintains a secondary practice location in Union City.

NPPES Registry Identity

NPI1346914744

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. JACLYN JEANAI PETTIGREW

Location Address1008 MOUNT ZION RDUnion City, TN 38261-7694

Mailing Address1008 Mount Zion RdUnion City, TN 38261-7694 · (731) 885-8722

Phone(731) 885-8722

Sole ProprietorNo

Enumeration DateAugust 9, 2021

NPPES CertifiedAugust 9, 2021

✔ NPI 1346914744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in TN · 95995

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1008 MOUNT ZION RD, Union City, TN 38261

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Secondary Practice Location 1

Location 11008 MT Zion RDUnion City, TN 38261 · Phone (731) 885-8722

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKEISHA DAWN HUNTER RN

Registered Nurse (Community Health)