Oliver, Jacqueline Grooms

Oliver, Jacqueline Grooms is an individual health care provider with primary practice located at 329 Wesley St , Johnson City TN 37601-1772. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Oliver, Jacqueline Grooms can be contacted via phone (423) 631-0055.

Contact Information

Primary practice address
329 Wesley St Johnson City TN 37601-1772
Phone: (423) 631-0055
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5008262 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 32794 Tennessee

Profile Details

NPI number 1467817353
LBN Legal business name Oliver, Jacqueline Grooms
Credentials PNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2015
Last updated May 20th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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