Individual
ADAM OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
6799 GREAT OAKS RD STE 250, MEMPHIS, TN 38138-2584
(901) 821-8300
Mailing address
3289 HILL VALLEY LN, SOUTHAVEN, MS 38672-9599
(662) 420-4399
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
905601
MS
363L00000X
Nurse Practitioner
906549
MS
363LF0000X
Family Nurse Practitioner
Primary
906549
MS
Other
Enumeration date
02/14/2024
Last updated
02/27/2024
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