Individual
JASON OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3991 DUTCHMANS LN STE 405, LOUISVILLE, KY 40207-4723
(502) 899-3366
Mailing address
3024 LINCOLN TRL, CRESTWOOD, KY 40014-9759
(502) 572-0031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3015078
KY
363LF0000X
Family Nurse Practitioner
Primary
3015078
KY
Other
Enumeration date
06/07/2021
Last updated
07/08/2021
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