Healthcare Provider Details

I. General information

NPI: 1720992969
Provider Name (Legal Business Name): AMY JEAN OLINGER APRN-CNP, AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1266 WAREHAM CIR
AKRON OH
44312-5938
US

IV. Provider business mailing address

1266 WAREHAM CIR
AKRON OH
44312-5938
US

V. Phone/Fax

Practice location:
  • Phone: 330-990-1494
  • Fax:
Mailing address:
  • Phone: 330-990-1494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number2026042660
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: