Provider Demographics
NPI:1760214274
Name:OLIVER, EMILY ANN (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:OLIVER
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ANN
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, FNP-C
Mailing Address - Street 1:247 HURFFVILLE CROSSKEYS RD STE 2-C
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-4014
Mailing Address - Country:US
Mailing Address - Phone:856-262-4750
Mailing Address - Fax:
Practice Address - Street 1:247 HURFFVILLE CROSSKEYS RD STE 2-C
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-4014
Practice Address - Country:US
Practice Address - Phone:856-262-4750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-14
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP029249363LF0000X
NJ26NJ14873600363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily