Provider Demographics
NPI:1457502312
Name:OLSEN, JENNIFER HECK (GNP)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:HECK
Last Name:OLSEN
Suffix:
Gender:F
Credentials:GNP
Other - Prefix:MISS
Other - First Name:JENNIFER
Other - Middle Name:MARIE
Other - Last Name:HECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:GNP
Mailing Address - Street 1:50 F ST NW
Mailing Address - Street 2:#3300
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-1530
Mailing Address - Country:US
Mailing Address - Phone:202-244-8300
Mailing Address - Fax:
Practice Address - Street 1:3180 FAIRVIEW PARK DR STE 500
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-4583
Practice Address - Country:US
Practice Address - Phone:703-531-6209
Practice Address - Fax:571-730-3225
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1004874363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCRN1004874OtherLICENSE