Provider Demographics
NPI:1154365633
Name:OLSON-ZERINGUE, JAN E (CRNP)
Entity type:Individual
Prefix:
First Name:JAN
Middle Name:E
Last Name:OLSON-ZERINGUE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 FRANKLIN ST SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4312
Mailing Address - Country:US
Mailing Address - Phone:256-539-4080
Mailing Address - Fax:
Practice Address - Street 1:930 FRANKLIN ST SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4312
Practice Address - Country:US
Practice Address - Phone:256-539-4080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1 051725363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-49756OtherBCBS
AL510-49754OtherBCBS
AL1 051725OtherBOARD OF NURSING
AL113305Medicaid
AL510-49757OtherBCBS
AL113308Medicaid
AL510-49755OtherBCBS
AL113301Medicaid
AL113299Medicaid
AL113303Medicaid
AL515-99965OtherBCBS
AL113305Medicaid