| Doctor Name: | AMY J OLSON |
| NPI Number: | 1659369494 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D., C.D.E. |
| License Number: | 164001786 |
| Business Practice Address: | 1040 River Oaks Dr Suite 302 Jackson, MS - 392329530 |
| Business Phone Number: | 6019399923 |
| Business Fax Number: | |
| Mailing Address: | 1040 River Oaks Dr, Suite 302 JACKSON |
| State: | MS |
| Postal Code: | 392329530 |
| Phone Number: | 6019399923 |
| Fax Number: | |
| NPI Enumeration Date: | 10/06/2005 |
| NPI Last Update Date: | 03/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 164001786 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |