JACI KATE QUALLS FNP-BC NPI 1194536367

NPI Information

  • NPI: 1194536367
  • Provider Name: JACI KATE QUALLS, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5751 BRADFORD HICKS DR
    LIVINGSTON, TN
    ZIP 38570
  • Phone: (931) 823-3030

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NPI Details

Jaci Kate Qualls, FNP-BC is a family nurse practitioner in Livingston, TN with 2 years of experience. Jaci Kate Qualls, FNP-BC NPI is 1194536367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5751 BRADFORD HICKS DR
LIVINGSTON, TN
ZIP 38570-237
Phone: (931) 823-3030

The NPI 1194536367 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/16/2025 and was last updated on 1/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily38006TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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