Provider Demographics
NPI:1720951312
Name:GEMIGNANI, OLIVIA (DNP)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:GEMIGNANI
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4012 LANTANA LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7096
Mailing Address - Country:US
Mailing Address - Phone:262-388-2895
Mailing Address - Fax:
Practice Address - Street 1:4012 LANTANA LN
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7096
Practice Address - Country:US
Practice Address - Phone:262-388-2895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1205593363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily