Individual provider · Type 1 NPI
Jessica Olivero
Pediatric Nurse Practitioner · Oakland, CA
NPI number
1366923138
Active
Practice location
747 52nd St
Oakland, CA 94609-1809
Mailing address
1409 Richmond St
El Cerrito, CA 94530-2228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95009812 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1366923138
Jessica Olivero's National Provider Identifier is 1366923138, issued on Aug 28, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Oakland, CA. The record was last updated on Aug 28, 2018.