Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackie A Church, APN

Individual provider Family Nurse Practitioner · NPI 1629126321

Jackie A Church, APN is a Nurse Practitioner in Lebanon, Virginia. Qualified in 2006, 20 years ago. Practices with Wellmont Medical Associates Inc, a 435-clinician group, works from 11 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina, Tennessee and Virginia.

Years since qualifying
20
Licensed in
NC, TN, VA
In the registry since
2007
Specialties on file
4
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

344 Overlook Dr Ste 200
Lebanon, VA 24266-3436
Phone: (276) 883-5900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (10)

  • 108 Park Ave, Banner Elk, NC 28604-6604 — (828) 783-9183
  • 1 Medical Park Blvd Ste 102w, Bristol, TN 37620-7430 — (423) 844-1121
  • 1500 W Elk Ave, Elizabethton, TN 37643-2654 — (423) 543-2584
  • 2030 Temple Hill Rd, Erwin, TN 37650-8721 — (423) 735-4700
  • 1420 Tusculum Blvd, Greeneville, TN 37745-4279 — (423) 787-5000
  • 400 N State Of Franklin Rd, Johnson City, TN 37604-6035 — (423) 431-6111
  • 130 W Ravine Rd, Kingsport, TN 37660-3837 — (423) 239-9737
  • 111 W Stone Dr Ste 110, Kingsport, TN 37660-6027 — (423) 224-3701
  • 2000 Brookside Dr, Kingsport, TN 37660-4627 — (423) 857-7000
  • 4600 Fort Henry Dr, Kingsport, TN 37663-2617 — (423) 224-3950

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN12537 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5018685 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 143764 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024187900 (VA)

Record details

NPI number1629126321
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025
Mailing address1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Wellmont Medical Associates Inc — 435 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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