Individual
MS. JILL I. OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
703 PRO MED LN, CARMEL, IN 46032-5317
(317) 843-9922
(317) 581-3918
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28133216A
IN
364S00000X
Clinical Nurse Specialist
71002894A
IN
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
71002894A
IN
Other
Enumeration date
05/28/2008
Last updated
07/07/2022
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