NPI | 1700117884 |
---|---|
Former Name | JESSICA G OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994242-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1658234) |
363L00000X Nurse Practitioner (Licence: CO RXN.0103603-NP) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0994242-NP) | |
Enumeration Date | 2010-01-29 |
Last Update Date | 2018-10-26 |