Individual
MRS. JACQUELYN MAY OLIAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2531
(616) 391-2802
(616) 391-2840
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704145586
MI
363LF0000X
Family Nurse Practitioner
Primary
4704145586
MI
Other
Enumeration date
10/28/2008
Last updated
12/19/2024
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