MR. JASON ENGHOLM, FNP-BC
Nurse Practitioner
Active
Individual
NPI: 1528540812
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse - Emergency | 163WE0003X | No | 168920 (TN) |
| Nurse Practitioner | 363L00000X | Yes | 24887 (TN) |
Frequently Asked Questions
NPI 1528540812 is the National Provider Identifier for MR. JASON ENGHOLM, FNP-BC, a Nurse Practitioner provider located in Fort Campbell, KY. This NPI was enumerated on September 3, 2018.
MR. JASON ENGHOLM, FNP-BC practices at 650 JOEL DR, Fort Campbell, KY 42223.
Quick Facts
- NPI
- 1528540812
- Type
- Individual
- Enumerated
- Sep 3, 2018
- Last Updated
- Apr 3, 2024
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