Healthcare Provider Details

I. General information

NPI: 1285462184
Provider Name (Legal Business Name): OLIVIA ARNETT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: OLIVIA THOMSON

II. Dates (important events)

Enumeration Date: 07/23/2024
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 S 3RD ST
GIRARD IL
62640-1547
US

IV. Provider business mailing address

205 S 3RD ST
GIRARD IL
62640-1547
US

V. Phone/Fax

Practice location:
  • Phone: 217-627-2222
  • Fax: 217-627-5065
Mailing address:
  • Phone: 217-627-2222
  • Fax: 217-627-5065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209030075
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: