Individual
JUDITH OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
4013 BEATLINE RD STE A, LONG BEACH, MS 39560-4135
(228) 200-0720
Mailing address
5107 BEATLINE RD STE 100B, LONG BEACH, MS 39560-3867
(517) 899-8950
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
912579
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
907247
MS
Other
Enumeration date
07/01/2024
Last updated
05/07/2026
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