Provider Demographics
NPI:1871272658
Name:OLSEN HERRON, JORDAN MAKAYLA (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:MAKAYLA
Last Name:OLSEN HERRON
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18 CONNIE ST
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30121-1906
Mailing Address - Country:US
Mailing Address - Phone:678-848-8763
Mailing Address - Fax:
Practice Address - Street 1:16 COLLINS DR
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-2486
Practice Address - Country:US
Practice Address - Phone:770-607-7430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-17
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN277902363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner