Provider Demographics
NPI:1033094420
Name:COLEY, OLIVIA JANE (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:JANE
Last Name:COLEY
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5760 FIELDS RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-2923
Mailing Address - Country:US
Mailing Address - Phone:770-533-1593
Mailing Address - Fax:
Practice Address - Street 1:5760 FIELDS RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30506-2923
Practice Address - Country:US
Practice Address - Phone:770-533-1593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA390200000X363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily