Healthcare Provider Details

I. General information

NPI: 1053015735
Provider Name (Legal Business Name): JENNIFER CHRISTINE OLESKOWICZ RN, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13348 S MARKET CENTER DR
RIVERTON UT
84065-8001
US

IV. Provider business mailing address

4621 W DAYBREAK RIM WAY
SOUTH JORDAN UT
84009-5056
US

V. Phone/Fax

Practice location:
  • Phone: 801-844-1600
  • Fax: 801-844-1601
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11115819-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: