Individual
JENNY REBECCA OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNM
Contact information
Practice address
1600 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33704-4204
(727) 456-0750
(727) 456-0751
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
APRN11012797
FL
367A00000X
Advanced Practice Midwife
Primary
APRN11012797
FL
Other
Enumeration date
10/27/2016
Last updated
01/25/2024
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