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

Jaclyn R Miscovich, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1003475864

Jaclyn R Miscovich, FNP-BC is a Nurse Practitioner in Brentwood, Tennessee. Qualified in 2018, 8 years ago. Practices with Wellstreet Urgent Care of Michigan, a 127-clinician group and accepts Medicare assignment. Licensed in Michigan and Tennessee.

Years since qualifying
8
Licensed in
MI, TN
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1642 Westgate Cir Ste 202
Brentwood, TN 37027-8195
Phone: (615) 941-8550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704302387 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APN0000025683 (TN)

Record details

NPI number1003475864
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJune 6, 2019
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Wellstreet Urgent Care Of Michigan — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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