Individual provider · Type 1 NPI

Ivelisse Olivencia-Simmons, NP

Nurse Practitioner · Gastonia, NC

NPI number 1295931251 Active

Practice location

2555 Court Dr Ste 200
Gastonia, NC 28054-2178

Call (704) 867-2141 Map

Fax (704) 867-2308

Mailing address

PO Box 744786
Atlanta, GA 30374-4786

Other practice locations

  • 101 Manning Dr, Chapel Hill, NC 27599-0001 · (919) 966-4131
  • 540 Litchfield St, Torrington, CT 06790-6679 · (972) 449-0540
  • 101 Manning Dr, Chapel Hill, NC 27599-0001 · (919) 966-4131
  • 1200 N Elm St, Greensboro, NC 27401-1004 · (336) 832-2820
  • 2000 Caromont Pkwy Ste 200, Belmont, NC 28012-0158 · (704) 867-2141
  • 330 Billingsley Rd Ste 202, Charlotte, NC 28211 · (704) 316-3070

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X79066 (ID)
Acute Care Nurse Practitioner 363LA2100X5003363 (NC)
Nurse Practitioner Primary 363L00000X5003363 (NC)
Nurse Practitioner 363L00000X218300 (CT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1295931251

Ivelisse Olivencia-Simmons, NP's National Provider Identifier is 1295931251, issued on Jun 26, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gastonia, NC. The record was last updated on Jan 19, 2026.