Jacob Netterville

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

47277 Issued in TN

Practice address

4726 Traders Way
Thompsons Station, TN 37179-5366

Phone

(615) 791-5347

Fax

(615) 791-5349

NPI assigned

Jul 19, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1841970415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 MURFREESBORO RD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370643013",
            "telephone_number": "615-790-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4726 TRADERS WAY",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371795366",
            "telephone_number": "615-791-5347",
            "fax_number": "615-791-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTERVILLE",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-19",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TN",
            "license": "47277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Mitchell, D.C.
• Cathleen Moore, RN
• Megan Eileen Morrison, D.O.
• Katherine Danielle Morrow, P.T.
• Kimberly Neely
• Emily Nicholls
• John Louis Nickle
• Matthew Thomas Oakley, DC
• Phillip Don Parkinson, DC
• Performax Chiropractic

• All providers in Thompsons Station, TN
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.