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. 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 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 (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 NumberSpecializationStateStatus
24887 TennesseePrimary
168920Registered Nurse TennesseeSecondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jason Engholm such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
168920OtherTennesseeRN LISCENSE
24887OtherTennesseeAPRN 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:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.