Ms Gweneth Ferdinand-jacob, PA-C - Physician Assistant in Clarksville, TN

Ms Gweneth Ferdinand-jacob, PA-C is a Physician Assistant - Medical based in Clarksville, Tennessee. Ms Gweneth Ferdinand-jacob is licensed to practice in Tennessee (license number PA969) and her current practice location is 763 Mcclain Dr, Clarksville, Tennessee. She can be reached at her office (for appointments etc.) via phone at (931) 906-1823.

NPI number for Ms Gweneth Ferdinand-jacob is 1922074459 and her current mailing address is 763 Mcclain Dr, Clarksville, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922074459.

Contact Information

Ms Gweneth Ferdinand-jacob, PA-C
763 Mcclain Dr,
Clarksville, TN 37040
(931) 906-1823
(731) 352-7644

Map and Direction




Provider's Profile

Full NameMs Gweneth Ferdinand-jacob
GenderFemale
SpecialityPhysician Assistant - Medical
Location763 Mcclain Dr, Clarksville, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922074459
  • Provider Enumeration Date: 02/24/2006
  • Last Update Date: 04/17/2012

Medical Identifiers

Medical identifiers for Ms Gweneth Ferdinand-jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922074459NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA969 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Gweneth Ferdinand-jacob is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Gweneth Ferdinand-jacob, PA-C
763 Mcclain Dr,
Clarksville, TN 37040-5695

Ph: (931) 906-1823
Ms Gweneth Ferdinand-jacob, PA-C
763 Mcclain Dr,
Clarksville, TN 37040

Ph: (931) 906-1823

Reviews and Comments


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