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

Olivia Derise

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174266738

Olivia Derise is a Student in an Organized Health Care Education/Training Program in Jefferson, Louisiana. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1514 Jefferson Hwy
Jefferson, LA 70121-2429
Phone: (337) 277-5209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1174266738
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 20, 2022
Last updated in NPPESJune 8, 2023
Certification dateJune 8, 2023
Mailing address1514 Jefferson Hwy, Jefferson, LA 70121-2429

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