Healthcare Provider Details

I. General information

NPI: 1801391206
Provider Name (Legal Business Name): CHELSEA ROCHELLE OLSON MD, DABS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2018
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 MADISON AVE 4B01
MEMPHIS TN
38163-3438
US

IV. Provider business mailing address

910 MADISON AVE STE 303
MEMPHIS TN
38103-3454
US

V. Phone/Fax

Practice location:
  • Phone: 901-515-9595
  • Fax: 901-515-9878
Mailing address:
  • Phone: 901-448-2919
  • Fax: 901-448-1498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number73485
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: