MR. Jason Engholm, FNP-BC
NPI #1528540812 in Fort Campbell, Kentucky
Provider Information
- NPI Number
- 1528540812
- Entity Type
- Individual
- Name
- MR. Jason Engholm, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP-BC
- Enumeration Date
- Sep 3, 2018
- Last Updated
- Apr 3, 2024
Practice Location
- Address
- 650 JOEL DR
- City
- Fort Campbell
- State
- Kentucky
- ZIP Code
- 42223-5318
- Phone
- (270) 798-8400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Emergency — Emergency |
| Nurse Practitioner |
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