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Mr. Jason Engholm, FNP-BC
Nurse Practitioner in Fort Campbell, Kentucky
NPI 1528540812

Jason Engholm is a Nurse Practitioner based in Fort Campbell, KY. Jason Engholm practices in Fort Campbell, KY and has the professional credentials of FNP-BC. The NPI Number for Jason Engholm is 1528540812 and holds a License No. 168920 (Kentucky).

The current practice location address for Jason Engholm is 650 Joel Dr, Fort Campbell, KY and can be reached out via phone at 270-798-8400 and via fax at 270-798-8224. You can also correspond with Jason Engholm through the mailing address at 650 JOEL DR, FORT CAMPBELL, KY - 42223-5318 (mailing address contact number: 270-798-8400).

Location: 650 Joel Dr, Fort Campbell, KY, 42223-5318
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Provider Profile Details
NPI Number
1528540812
Provider Name
Jason Engholm
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
650 Joel Dr, Fort Campbell, KY, 42223-5318
Phone Number
270-798-8400
Fax Number
270-798-8224
Provider Enumeration Date
09/03/2018
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
168920 01 TN RN LISCENSE
24887 01 TN APRN LICENSE
institution
Provider Business Practice Location Address Details
Address
650 Joel Dr
City
State
Zip
42223-5318
Phone Number
270-798-8400
Fax Number
270-798-8224
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Provider Business Mailing Address Details
Address
650 Joel Dr
City
State
Zip
42223-5318
Phone Number
270-798-8400
Fax Number
270-798-8224
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
License No.
24887 (Tennessee)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
168920 (Tennessee)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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