Individual provider · Type 1 NPI

Jay Lee Olivares, DNP

Psychiatric/Mental Health Nurse Practitioner · Deer Park, WA

NPI number 1104550607 Active

Practice location

401 S Main St
Deer Park, WA 99006-8238

Mailing address

611 N Iron Bridge Way
Spokane, WA 99202-4932

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP61578789 (WA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1104550607

Jay Lee Olivares, DNP's National Provider Identifier is 1104550607, issued on Jul 12, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Deer Park, WA. The record was last updated on Sep 3, 2024.