MEDICARE: JORDANN 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
1	363LF0000X	Family Nurse Practitioner	APRN11004000	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11004000	OTHER	FL	AANP LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164063178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDANN OLSON

Provider Business Mailing Address
First Line	:	293 E ALTAMONTE DR STE 1201
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-4349
Country	:	US
Telephone Number	:	407-392-3171
Fax Number	:

Provider Business Practice Location Address
First Line	:	293 E ALTAMONTE DR STE 1201
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-4349
Country	:	US
Telephone Number	:	407-392-3171
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2019
Last Update Date	:	03/03/2026

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Directions to “ JORDANN OLSON ” Practice Location

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