Individual
JASMINE MARIE OLIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501
(931) 783-2497
(931) 783-5666
Mailing address
127 N OAK AVE, SUITE D, COOKEVILLE, TN 38501-2435
(931) 783-5857
(931) 526-6760
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1-128366
AL
363LA2200X
Adult Health Nurse Practitioner
Primary
21106
TN
363LA2200X
Adult Health Nurse Practitioner
RN255482
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6067989
BCBS
TN
05
—
7100413450
—
KY
05
—
Q022320
—
TN
Enumeration date
06/09/2015
Last updated
06/29/2023
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