Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APN0000010744 | TN |
Y | 363LN0000X | Nurse Practitioner - Neonatal | 0000010744 | TN |
NPI | 1639129760 |
---|---|
Provider Name | Mrs. Carol Jayne Oliver |
First Address | Sunrise, FL 33323-2823 |
Second Address | Knoxville, TN 37916-2393 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 25/03/2016 |