National Provider Identifier
Olivia South
Olivia South is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Jamestown, NY and a listed phone number of (716) 969-8746.
Profile Overview
- NPI
- 1386357242
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 05, 2023
- Last Updated
- January 05, 2023
Practice Location
- 52 Howard Ave
- Jamestown, NY 14701-4324
Phone: (716) 969-8746
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1386357242
- Entity Type
- Individual
- Last Name
- South
- First Name
- Olivia
- Mailing Street Address
- 52 Howard Ave
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-4324
- Mailing Country
- US
- Mailing Phone
- (716) 969-8746
- Practice Street Address
- 52 Howard Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-4324
- Practice Country
- US
- Practice Phone
- (716) 969-8746
- Enumeration Date
- January 05, 2023
- Last Updated
- January 05, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 05, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)