Jacqueline Grooms Oliver, PNP-AC
NPI #1467817353 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1467817353
- Entity Type
- Individual
- Name
- Jacqueline Grooms Oliver, PNP-AC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Credential
- PNP-AC
- Enumeration Date
- Dec 21, 2015
- Last Updated
- May 20, 2024
Practice Location
- Address
- 329 WESLEY ST
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-1772
- Phone
- (423) 631-0055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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