Individual
OLIVIA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
721 W 13TH ST STE 121, JASPER, IN 47546-1856
(812) 996-5780
Mailing address
721 W 13TH ST STE 121, JASPER, IN 47546-1856
(812) 996-5780
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28168363A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
28168363A
IN
Other
Enumeration date
09/06/2016
Last updated
04/19/2026
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