Mr. Jason Engholm
FNP-BC | Nurse Practitioner
650 Joel Dr, Fort Campbell
Kentucky, 42223-5318
270-798-8400
May or may not accept Medicare Nurse Anesthetist in Fort Campbell, Kentucky.Mr. Jason Engholm is a Fort Campbell, Kentucky based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Mr. Jason Engholm is 24887 in Tennessee. His current practice location is 650 Joel Dr, Fort Campbell. Patients can reach him at 270-798-8400 or can fax him at 270-798-8224. Mr. Jason Engholm is FNP-BC with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1528540812.
Mr. Jason Engholm 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:
Mr. Jason Engholm speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Jason Engholm |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | FNP-BC |
| Practice Address: | 650 Joel Dr, Fort Campbell, Kentucky, 42223-5318 |
| Phone: | 270-798-8400 |
| Fax: | 270-798-8224 |
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: | 1528540812 |
| NPI Enumeration Date: | 03 Sep, 2018 |
| NPI Last Update On: | 03 Apr, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jason Engholm are as mentioned below.
| License Number | Specialization | State | Status | |
| 24887 | | Tennessee | Primary | |
| 168920 | Registered Nurse | Tennessee | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jason Engholm such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 168920 | Other | Tennessee | RN LISCENSE |
| 24887 | Other | Tennessee | APRN LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Jason Engholm 650 Joel Dr, Fort Campbell, Kentucky |
| Zip: | 42223-5318 |
| Phone Number: | 270-798-8400 |
| Fax Number: | 270-798-8224 |
Patients can reach Mr. Jason Engholm at
650 Joel Dr, Fort Campbell, Kentucky or can
call to book an appointment on 270-798-8400.
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.