Organization
OLIVE BRANCH WAY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEREKIA HALES PMHNP (OWNER)
(904) 710-0398
Entity
Organization
Contact information
Practice address
245 RIVERSIDE AVE STE 100, JACKSONVILLE, FL 32202-4930
(904) 575-0628
(904) 506-1326
Mailing address
5501 WESCONNETT BLVD UNIT 14846, JACKSONVILLE, FL 32238-7769
(904) 575-0628
(904) 506-1326
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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