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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELINE GROOMS OLIVER, PNP-AC

Active

JACQUELINE GROOMS OLIVER, PNP-AC is a Pediatric Nurse Practitioner healthcare provider located in JOHNSON CITY, Tennessee. NPI 1467817353 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · JOHNSON CITY, TN

Registration Details

NPI Number
1467817353
Provider Type
Individual
Gender
Female
NPI Issued
Dec 21, 2015 (10.637822665642 yrs)
Last Updated
May 20, 2024
Licenses
5008262 (NC)
32794 (TN)

Practice Information

Address
329 WESLEY ST
JOHNSON CITY, TN, 376011772
Browse TN providers · Browse ZIP 37601
Phone
4236310055
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in JOHNSON CITY, TN

Name Credential NPI
MS. REBECCA A MORRISON CPNP 1245238914
MRS. ALISON REPASS HERRIG NP 1821158031
MRS. LAUREN TODT WYATT CRNP 1194167882
LOGAN NICOLE THOMAS 1639835895
DR. SUSAN SCHREIBER DNP 1013662725
KATHLEEN WYKOFF 1174273478
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.