Individual
JENNIFER LYNN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF PEDIATRICS, SHREVEPORT, LA 71103-4228
(318) 675-7737
(318) 675-5666
Mailing address
1512 W. KIRBY PLACE, SHREVEPORT, LA 71103-3822
(318) 675-7636
Taxonomy
Speciality
Code
Description
License number
State
2080C0008X
Child Abuse Pediatrics Physician
Primary
023807
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487236
—
LA
01
—
4A661F600
MEDICARE - PTAN
LA
Enumeration date
07/21/2006
Last updated
12/16/2025
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