MS. JENNIFER ANN OLIVELLA


Address: 119 Noble St, Brentwood, NY 11717-6512
Phone: 5169675591

MS. JENNIFER ANN OLIVELLA (NPI# 1427483296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427483296
Entity Type Individual
Full Name MS. JENNIFER ANN OLIVELLA
Credential FNP
Practice Address 119 Noble St
Brentwood
NY 11717-6512
Practice Telephone 5169675591
Mailing Telephone 5169675591
Enumeration Date 2013-09-11
Last Update Date 2016-01-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 624365 NY Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
33-340159 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers JENNIFER OLIVELLA

NPI Name Taxonomy Address Enumeration
1225291495 Jennifer Lynn Olivella Pathology 601 N 30th St, Cumc/pathology, Omaha, NE 68131-2137 2008-07-08

Office Location

Street Address 119 NOBLE ST
City BRENTWOOD
State NY
Zip Code 11717-6512

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1114496262 Timothy Eisemann Registered Nurse 52 Third Ave, Brentwood, NY 11717 2018-11-19
1245710490 Lauren Linker Occupational Therapist Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 2018-08-17
1558849786 Anila Thomas Registered Nurse Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 2018-07-31
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1659863595 Steven Edward Szydziak Registered Nurse Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 2018-06-06
1881103570 Shatevia Simpson Hickson Behavioral Analyst 56 Swallow Ln, Brentwood, NY 11717 2017-09-25
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City BRENTWOOD
Zip Code 11717

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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