Individual provider · Type 1 NPI

Jeremiah Olivas, NP

Nurse Practitioner · Durham, NC

NPI number 1477969616 Active

Practice location

2301 Erwin Rd
Durham, NC 27701

Mailing address

2301 Erwin Rd
Durham, NC 27705-4699

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X5006948 (NC)
Nurse Practitioner Primary 363L00000X5006948 (NC)

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 1477969616

Jeremiah Olivas, NP's National Provider Identifier is 1477969616, issued on Jul 9, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Durham, NC. The record was last updated on Oct 2, 2025.