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NPI Code Detail

MEDICARE: JENNIFER OLSON

MEDICARE: JENNIFER OLSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372600000XAdult Companion

General Provider Information

NPI Number : 1629878418
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER OLSON
Provider Business Mailing Address
First Line : 3769 25TH AVE
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-2030
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3206 RAASCH DR STE 300
Second Line :
City : NORFOLK
State : NE
Zip : 68701-3175
Country : US
Telephone Number : 402-698-9812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2025
Last Update Date : 03/19/2025

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Directions to “ JENNIFER OLSON ” Practice Location

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