JACOB W OLIVER NP
NPI 1912429317
Nurse Practitioner in Johnson City, TN

Q: What is Jacob Oliver's NPI number?

The NPI number for Jacob Oliver is 1912429317. It was assigned to this individual provider in the NPPES registry on July 7, 2017.

Q: What is Jacob Oliver's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Oliver was last updated on May 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 07, 2017

301 MED TECH PKWY STE 240, JOHNSON CITY, TN 37604(423) 794-5520(423) 282-6940 Get Directions Write a Review

NPPES record last updated: May 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2018, Feb 28, 2018, Nov 20, 2017 and 2 more (5 updates tracked since 2017).

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About Jacob W Oliver Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB W OLIVER NP (NPI 1912429317) is an individual nurse practitioner in Johnson City, Tennessee, licensed in Tennessee (22831) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1912429317

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJACOB W OLIVERCredential: NP

Location Address301 MED TECH PKWY STE 240Johnson City, TN 37604

Mailing Address215 E Springbrook DrJohnson City, TN 37601-1761 · (423) 794-5520 · Fax (423) 282-6940

Phone(423) 794-5520

Fax(423) 282-6940

Sole ProprietorNo

Enumeration DateJuly 7, 2017

Last NPPES UpdateMay 2, 20205 updates tracked since enumeration

NPPES CertifiedMay 2, 2020

✔ NPI 1912429317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 22831

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 202305 (TN)

301 MED TECH PKWY STE 240, Johnson City, TN 37604

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Other Identifiers 1

MedicaidQ030858TN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH A PETTEY NP

Nurse Practitioner