Search › Wisconsin › 235Z00000X
Jordan Olson
NPI 1962850412 · on the registry since 2016
Practice
- Address
- 10108 74th St
Kenosha, WI 53142 - Phone
- (262) 671-2557
- Organisation at this address
- Vop Kenosha, Llc
Brookdale Senior Living Communities, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 390200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-06-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin