Individual
JENNIFER OLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, RN
Contact information
Practice address
2662 EDITH AVE, REDDING, CA 96001-3043
(530) 953-0340
Mailing address
2662 EDITH AVE, REDDING, CA 96001-3043
(530) 953-0340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
707525
CA
207X00000X
Orthopaedic Surgery Physician
23648
CA
363L00000X
Nurse Practitioner
Primary
23648
CA
363LF0000X
Family Nurse Practitioner
23648
CA
Other
Enumeration date
01/05/2014
Last updated
06/10/2025
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