Olive, Jasmine Marie

Olive, Jasmine Marie is an individual health care provider with primary practice located at 1 Medical Center Blvd , Cookeville TN 38501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Olive, Jasmine Marie can be contacted via phone (931) 783-2497.

Contact Information

Primary practice address
1 Medical Center Blvd Cookeville TN 38501
Phone: (931) 783-2497
Fax: (931) 783-5666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 1-128366 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN255482 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 21106 Tennessee

Profile Details

NPI number 1588045132
LBN Legal business name Olive, Jasmine Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2015
Last updated Jun 29th, 2023 - about 3 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1588045132 NPPES
Tennessee Other 6067989 BCBS
Tennessee MEDICAID Q022320 BCBS
Tennessee MEDICAID 7100413450 BCBS

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