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

Jacqueline Dawn Fochtmann, RN

Individual provider General Practice Registered Nurse · NPI 1699433433

Jacqueline Dawn Fochtmann, RN is a Nurse Practitioner in Centreville, Alabama. Qualified in 2023, 3 years ago. Practices with The Bibb County Healthcare Authority, a 17-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
3
Licensed in
AL
In the registry since
2021
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

208 Pierson Ave
Centreville, AL 35042-2918
Phone: (205) 926-3288
Show map & directions

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

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 1-114223 (AL)

Record details

NPI number1699433433
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedNovember 29, 2021
Last updated in NPPESNovember 29, 2021
Certification dateNovember 29, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The Bibb County Healthcare Authority — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount