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

MR. JASON ENGHOLM, FNP-BC

Active Sole Proprietor

MR. JASON ENGHOLM, FNP-BC is a Nurse Practitioner healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1528540812 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · FORT CAMPBELL, KY

Registration Details

NPI Number
1528540812
Provider Type
Individual
Gender
Male
NPI Issued
Sep 3, 2018 (7.9131309189549 yrs)
Last Updated
Apr 3, 2024
Licenses
168920 (TN)
24887 (TN)
Sole Proprietor
Yes

Practice Information

Address
650 JOEL DR
FORT CAMPBELL, KY, 422235318
Browse KY providers · Browse ZIP 42223
Phone
2707988400
Fax
2707988224
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in FORT CAMPBELL, KY

Name Credential NPI
MRS. SUSAN ANN VAIRIN FNP 1992770143
MRS. DENISE L JONES CFNP 1003865551
PAMELA M HUMES ARNP 1851432496
MRS. REGINA G GOLDWIRE FNP-BC 1619304318
AMBER MICHELLE BIRKLE DNP, FNP-C, WHNP-BC 1811407612
BARBARA OLAND FNP-C 1780199554
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.