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MS. GWENETH FERDINAND-JACOB PA-C
NPI 1922074459
Physician Assistant - Medical in Clarksville, TN

Active since February 24, 2006
763 MCCLAIN DR, CLARKSVILLE, TN 37040(931) 906-1823(731) 352-7644 Get Directions Write a Review

NPPES record last updated: April 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Gweneth Ferdinand-jacob Pa-c NPPES

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

MS. GWENETH FERDINAND-JACOB PA-C (NPI 1922074459) is an individual medical provider in Clarksville, Tennessee, licensed in Tennessee (PA969) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1922074459
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. GWENETH FERDINAND-JACOBCredential: PA-C
Location Address763 MCCLAIN DRClarksville, TN 37040
Mailing Address763 Mcclain DrClarksville, TN 37040-5695 · (931) 906-1823 · Fax (731) 352-7644
Phone(931) 906-1823
Fax(731) 352-7644
Sole ProprietorNo
Enumeration DateFebruary 24, 2006
Last NPPES UpdateApril 17, 2012
✔ NPI 1922074459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TN · PA969
763 MCCLAIN DR, Clarksville, TN 37040
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Other Identifiers 1

Medicare UPINVAD000KY

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 Gweneth Ferdinand-jacob's NPI number?

The NPI number for Gweneth Ferdinand-jacob is 1922074459. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Gweneth Ferdinand-jacob located?

Gweneth Ferdinand-jacob practices at 763 Mcclain Dr, Clarksville, TN 37040. The listed phone number is (931) 906-1823.

What is Gweneth Ferdinand-jacob's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Gweneth Ferdinand-jacob was last updated on April 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.