Individual
MS. HEATHER OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
318 TUSCULUM BLVD, GREENEVILLE, TN 37745-3926
(423) 639-7700
(423) 639-7702
Mailing address
318 TUSCULUM BLVD, GREENEVILLE, TN 37745-3926
(423) 639-7700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16636
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529482
—
TN
01
—
4339160
BCBS OF TN
TN
01
—
P01113850
MEDICARE RR
TN
Enumeration date
01/31/2011
Last updated
02/22/2019
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