Individual
MRS. JESSICA LYN OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
83 W MILLER ST, ORLANDO, FL 32806-2031
(321) 841-5281
(407) 648-9879
Mailing address
83 W MILLER ST, ORLANDO, FL 32806-2031
(321) 841-5281
(407) 648-9879
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
730
NM
367A00000X
Advanced Practice Midwife
Primary
APRN11004266
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104605700
—
FL
Enumeration date
06/08/2017
Last updated
08/04/2022
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