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JACKSON NOWATZKE
NPI 1437090370
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since April 03, 2026
475 VINE ST, WINSTON SALEM, NC 27101(336) 716-2011 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackson Nowatzke NPPES

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

JACKSON NOWATZKE (NPI 1437090370) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1437090370
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACKSON NOWATZKE
Location Address475 VINE STWinston Salem, NC 27101-4135
Mailing Address475 Vine StWinston Salem, NC 27101-4135
Phone(336) 716-2011
Sole ProprietorNo
Enumeration DateApril 3, 2026
NPPES CertifiedApril 3, 2026
✔ NPI 1437090370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
475 VINE ST, Winston Salem, NC 27101
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Other Providers at the Same Location NPPES 17

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

DEVYN SMITH
Student in an Organized Health Care Education/Training Program
475 VINE ST
WINSTON SALEM, NC 27101
Forsyth County (336) 716-2011
GABRIELLA TAGHIAN
Student in an Organized Health Care Education/Training Program
475 VINE ST
WINSTON SALEM, NC 27101
Forsyth County (781) 929-0888
FARAJI WOODSON
Student in an Organized Health Care Education/Training Program
475 VINE ST
WINSTON SALEM, NC 27101
Forsyth County (336) 686-1029
ISAAC JAMES KOLODITCH
Student in an Organized Health Care Education/Training Program
475 VINE ST
WINSTON SALEM, NC 27101
Forsyth County (941) 761-0409
CHASE OLSON
Student in an Organized Health Care Education/Training Program
475 VINE ST
WINSTON SALEM, NC 27101
Forsyth County (336) 716-2011
NIKITHA JONA
Student in an Organized Health Care Education/Training Program
475 VINE ST
WINSTON SALEM, NC 27101
Forsyth County (843) 260-7788
ERIC ZENG
Student in an Organized Health Care Education/Training Program
475 VINE ST
WINSTON SALEM, NC 27101
Forsyth County (336) 716-2011
ALYSIA BELLA KOHRS
Student in an Organized Health Care Education/Training Program
475 VINE ST
WINSTON SALEM, NC 27101
Forsyth County (918) 995-0008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Nowatzke's NPI number?

The NPI number for Jackson Nowatzke is 1437090370. It was assigned to this individual provider in the NPPES registry on April 3, 2026.

Where is Jackson Nowatzke located?

Jackson Nowatzke practices at 475 Vine St, Winston Salem, NC 27101. The listed phone number is (336) 716-2011.

What is Jackson Nowatzke's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jackson Nowatzke was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.