Individual
DR. JENNIFER LEA OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
922 22ND AVE S, BROOKINGS, SD 57006-2830
(605) 697-1900
(605) 697-1919
Mailing address
922 22ND AVE S, BROOKINGS, SD 57006-2830
(605) 697-1900
(605) 697-1919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5215
AK
207Q00000X
Family Medicine Physician
Primary
5937
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285623439
NPI
SD
Enumeration date
10/20/2005
Last updated
02/15/2021
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