Individual
JENNIFER ROSE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1013 E SPRING ST, SAINT MARYS, OH 45885-2447
(419) 394-8664
(419) 394-1148
Mailing address
1140 S KNOXVILLE AVE STE D, SAINT MARYS, OH 45885-2609
(193) 001-1294
(419) 394-9575
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0028477
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.0028477
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0465304
—
OH
01
—
1344572-0001
BWC
OH
Enumeration date
07/26/2021
Last updated
08/28/2023
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