Jacob W Oliver
NP | Nurse Practitioner
301 Med Tech Pkwy Ste 240, Johnson City
Tennessee, 37604
423-794-5520
Jacob W Oliver is a Johnson City, Tennessee based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Jacob W Oliver is 22831 in Tennessee. His current practice location is 301 Med Tech Pkwy Ste 240, Johnson City. Patients can reach him at 423-794-5520 or can fax him at 423-282-6940. Jacob W Oliver is NP with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1912429317.
Jacob W Oliver has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jacob W Oliver speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jacob W Oliver |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | NP |
| Practice Address: | 301 Med Tech Pkwy Ste 240, Johnson City,
Tennessee, 37604 |
| Phone: | 423-794-5520 |
| Fax: | 423-282-6940 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
| NPI Number: | 1912429317 |
| NPI Enumeration Date: | 07 Jul, 2017 |
| NPI Last Update On: | 02 May, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacob W Oliver are as mentioned below.
| License Number | Specialization | State | Status | |
| 22831 | | Tennessee | Primary | |
| 202305 | Registered Nurse | Tennessee | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jacob W Oliver such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| Q030858 | Medicaid | Tennessee | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jacob W Oliver
215 E Springbrook Dr,
Johnson City, Tennessee |
| Zip: | 37601-1761 |
| Phone Number: | 423-794-5520 |
| Fax Number: | 423-282-6940 |
Patients can reach Jacob W Oliver at
301 Med Tech Pkwy Ste 240, Johnson City, Tennessee or can
call to book an appointment on 423-794-5520.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.