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Dr. Jean L Oliver
Specialist in Norfolk, Virginia
NPI 1144278078

Jean L Oliver is a Specialist based in Norfolk, VA. Jean L Oliver practices in Norfolk, VA. The NPI Number for Jean L Oliver is 1144278078 and holds a License No. 0101055343 (Virginia).

The current practice location address for Jean L Oliver is 1909 Granby St, Norfolk, VA and can be reached out via phone at 757-640-0022 and via fax at 757-627-8064.

Location: 1909 Granby St, Norfolk, VA, 23517-2349
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144278078
Provider Name
Jean L Oliver
Credential
Provider Entity Type
Individual
Gender
Female
Address
1909 Granby St, Norfolk, VA, 23517-2349
Phone Number
757-640-0022
Fax Number
757-627-8064
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11902 01 VA OPTIMA
243512 01 VA ANTHEM
institution
Provider Business Practice Location Address Details
Address
1909 Granby St
City
Norfolk
State
Virginia
Zip
23517-2349
Phone Number
757-640-0022
Fax Number
757-627-8064
person
Provider Business Mailing Address Details
Address
1909 Granby St
City
Norfolk
State
Virginia
Zip
23517-2349
Phone Number
757-640-0022
Fax Number
757-627-8064
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101055343 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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