Olson, Jennifer Lynn

Olson, Jennifer Lynn is an individual health care provider with primary practice located at 455 W Warren Ave , Longwood FL 32750-4038. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Olson, Jennifer Lynn can be contacted via phone (407) 262-2220.

Contact Information

Primary practice address
455 W Warren Ave Longwood FL 32750-4038
Phone: (407) 262-2220
Fax: (407) 834-5011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD00043619 Washington
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME142772 Florida

Profile Details

NPI number 1730269770
LBN Legal business name Olson, Jennifer Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Aug 29th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730269770 NPPES
Florida MEDICAID 118642600

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