Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Grooms Oliver, PNP-AC

Individual provider Pediatric Nurse Practitioner · NPI 1467817353

Jacqueline Grooms Oliver, PNP-AC is a Pediatric Nurse Practitioner in Johnson City, Tennessee. Works from 2 locations. Licensed in North Carolina and Tennessee.

Licensed in
NC, TN
In the registry since
2015
Specialties on file
2

Practice location Address checks out

329 Wesley St
Johnson City, TN 37601-1772
Phone: (423) 631-0055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2151 Century Ln, Johnson City, TN 37604-4469 — (423) 926-2500

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 32794 (TN)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 5008262 (NC)

Record details

NPI number1467817353
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP-AC
Sole proprietorNo
NPI enumeratedDecember 21, 2015
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Other providers in Johnson City