Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Olive Branch Way PLLC

Organization Clinic/Center · NPI 1972479137

Olive Branch Way PLLC is a Clinic/Center in Jacksonville, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

245 Riverside Ave Ste 100
Jacksonville, FL 32202-4930
Phone: (904) 575-0628
Fax: (904) 506-1326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1972479137
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sherekia Hales — Owner · (904) 710-0398
NPI enumeratedOctober 15, 2025
Last updated in NPPESOctober 15, 2025
Certification dateSeptember 29, 2025
Mailing address5501 Wesconnett Blvd Unit 14846, Jacksonville, FL 32238-7769

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