Individual
JEREMIAH OLIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27701
(919) 684-8111
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006948
NC
363LA2100X
Acute Care Nurse Practitioner
5006948
NC
Other
Enumeration date
07/09/2014
Last updated
10/02/2025
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