Jackie Gwenn Tawoda, FNP Valid NPI

Individual provider · Family Nurse Practitioner · Pineville, KY

NPI

1487368049

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

3018842 (KY)

Sex

Female

Sole proprietor

No

Enumerated

2023-01-09

Last updated

2024-10-21