Individual provider Active NPI

Jillian Renee Rolak-Olvera

  • Ambulatory Women's Health Care Registered Nurse
  • Wyandotte, MI
National Provider Identifier
1760325229
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X
License
4704238080 Issued in MI
Practice address
1097 8TH St
Wyandotte, MI 48192-2803
Phone
(734) 818-7978
NPI assigned
Apr 10, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WW0101X 4704238080 MI Primary

Addresses

Primary practice location

1097 8TH St
Wyandotte, MI 48192-2803

Mailing address

1097 8TH St
Wyandotte, MI 48192-2803
Phone (734) 818-7978

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4704238080MIMDAmbulatory Women's Health Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1760325229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 8TH ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922803",
            "telephone_number": "734-818-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 8TH ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922803",
            "telephone_number": "734-818-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLAK-OLVERA",
        "first_name": "JILLIAN",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "MI",
            "license": "4704238080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.