Provider Demographics
NPI:1053015735
Name:OLESKOWICZ, JENNIFER CHRISTINE (RN, APRN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:CHRISTINE
Last Name:OLESKOWICZ
Suffix:
Gender:
Credentials:RN, APRN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4621 W DAYBREAK RIM WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84009-5056
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13348 S MARKET CENTER DR
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84065-8001
Practice Address - Country:US
Practice Address - Phone:801-844-1600
Practice Address - Fax:801-844-1601
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11115819-4405363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner