Individual provider Active NPI

Jennifer Lynn Olufson

  • Registered Nurse
  • Bruce, WI
National Provider Identifier
1679485619
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
84344-30 Issued in WI
Practice address
104 W Washington Ave
Bruce, WI 54819-9641
Phone
(715) 868-2585
Fax
(715) 868-2534
NPI assigned
Sep 22, 2026
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 84344-30 WI Primary

Addresses

Primary practice location

104 W Washington Ave
Bruce, WI 54819-9641

Mailing address

104 W Washington Ave
Bruce, WI 54819-9641
Phone (715) 868-2585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1679485619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W WASHINGTON AVE",
            "city": "BRUCE",
            "state": "WI",
            "postal_code": "548199641",
            "telephone_number": "715-868-2585",
            "fax_number": "715-868-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W WASHINGTON AVE",
            "city": "BRUCE",
            "state": "WI",
            "postal_code": "548199641",
            "telephone_number": "715-868-2585",
            "fax_number": "715-868-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUFSON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "84344-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bruce, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.