Provider Demographics
NPI:1285040139
Name:SINGLETON, OLIVIA (RN)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5350 ARLINGTON EXPY
Mailing Address - Street 2:APT 2407
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32211-6802
Mailing Address - Country:US
Mailing Address - Phone:904-624-9407
Mailing Address - Fax:
Practice Address - Street 1:5350 ARLINGTON EXPY
Practice Address - Street 2:APT 2407
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32211-6802
Practice Address - Country:US
Practice Address - Phone:904-624-9407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9318226163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse