Provider Demographics
NPI:1386356509
Name:LEVY, OLIVIA YAEL (DNP, APRN)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:YAEL
Last Name:LEVY
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:
Other - Last Name:ROSSNAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, APRN
Mailing Address - Street 1:12745 JOSSLYN LN
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-2292
Mailing Address - Country:US
Mailing Address - Phone:561-670-6755
Mailing Address - Fax:
Practice Address - Street 1:3627 UNIVERSITY BLVD S STE 700
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-7403
Practice Address - Country:US
Practice Address - Phone:904-399-5678
Practice Address - Fax:904-399-8488
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11022548363L00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care