Provider Demographics
NPI:1891472098
Name:CRAWFORD, OLIVIA NELSON (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:NELSON
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BELLE ISLE LN
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31411-2803
Mailing Address - Country:US
Mailing Address - Phone:912-344-8081
Mailing Address - Fax:
Practice Address - Street 1:4 BELLE ISLE LN
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31411-2803
Practice Address - Country:US
Practice Address - Phone:912-344-8081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-29
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2023021173363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner