Jenny A Oliver, PA-C
Physician Assistant in Camp Lejeune, North Carolina
1053072173- Practice location
- 100 Brewster Blvd, Camp Lejeune, NC 28547-2575
- Phone
- 910-450-4357
- Fax
- —
- Last updated
- April 24, 2025
Jenny Anne Oliver is a Physician Assistant based in Camp Lejeune, NC. Jenny Anne Oliver practices in Camp Lejeune, NC and has the professional credentials of PA-C. The NPI Number for Jenny Anne Oliver is 1053072173 and holds a License No. 0010-14138 (NC). The current practice location address for Jenny Anne Oliver is 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 and can be reached out via phone at 910-450-4357.
Provider Profile Details
- NPI Number
- 1053072173
- Provider Name
- Jenny Anne Oliver
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Brewster Blvd, Camp Lejeune, NC 28547-2575
- Phone Number
- 910-450-4357
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- Jenny Anne Van Wagoner (Former Name)
- Provider Enumeration Date
- January 2, 2022
- Last Update Date
- April 24, 2025
- Certification Date
- April 23, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Brewster Blvd
Camp Lejeune, NC 28547-2575 - City
- Camp Lejeune
- State
- North Carolina
- Zip
- 28547-2575
- Phone Number
- 910-450-4357
Provider Business Mailing Address Details
- Address
- 100 Brewster Blvd
Camp Lejeune, NC 28547-2575 - City
- Camp Lejeune
- State
- NC
- Zip
- 28547-2575
License Information
- License Number (1)
- 0010-14138
- License State (1)
- NC
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- 0010-14138
- License State (2)
- NC
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Camp Lejeune, NC
View all Physician Assistants in Camp Lejeune →Frequently Asked Questions
What is the NPI number of Jenny A Oliver, PA-C?
The NPI number of Jenny A Oliver, PA-C is 1053072173. It was assigned on January 2, 2022 and is currently active in the NPPES registry.
What is the specialty of Jenny A Oliver, PA-C?
Jenny A Oliver, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NC under license number 0010-14138.
Where does Jenny A Oliver, PA-C practice?
The practice location is 100 Brewster Blvd, Camp Lejeune, NC 28547-2575. The office can be reached at 910-450-4357 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053072173 directly on the NPPES registry website.