Individual provider · Type 1 NPI

Jacob Olsen, NURSE PRACTITIONER

Psychiatric/Mental Health Nurse Practitioner · Irvine, CA

NPI number 1336841204 Active

Practice location

1 Park Plz Ste 600
Irvine, CA 92614-5987

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95024663 (CA)

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

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About NPI 1336841204

Jacob Olsen, NURSE PRACTITIONER's National Provider Identifier is 1336841204, issued on Mar 21, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Irvine, CA. The record was last updated on Mar 3, 2026.