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

Mr. Jason Engholm, FNP-BC

Individual provider Emergency Registered Nurse · NPI 1528540812

Mr. Jason Engholm, FNP-BC is an Emergency Registered Nurse in Fort Campbell, Kentucky. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8400
Fax: (270) 798-8224
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 24887 (TN)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 168920 (TN)

Record details

NPI number1528540812
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedSeptember 3, 2018
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024

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