Individual
JESSENIA OLIVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP-BC
Contact information
Practice address
1309 COFFEEN AVE STE 1200, SHERIDAN, WY 82801-5777
(516) 423-3234
Mailing address
1309 COFFEEN AVE STE 1200, SHERIDAN, WY 82801-5777
(516) 423-3234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9425950
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F407045
NY
Other
Enumeration date
11/10/2016
Last updated
08/27/2025
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