Individual provider · Type 1 NPI

Olivia Stewart

Licensed Practical Nurse · Dallas, GA

NPI number 1417811464 Active

Practice location

300 W I Pkwy Ste 208
Dallas, GA 30132-5103

Call (770) 694-6750 Map

Fax (770) 818-5720

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN052747 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1417811464

Olivia Stewart's National Provider Identifier is 1417811464, issued on Dec 15, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dallas, GA. The record was last updated on Dec 15, 2025.