JESSICA OVERSTREET NPI 1992305148

NPI Information

NPI: 1992305148
Provider Name: JESSICA OVERSTREET
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
1147 PAT LUCKETT RD
CANTON, MS
ZIP 39046
Phone: (601) 383-7916
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Jessica Overstreet is a driver in Canton, MS. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Jessica Overstreet NPI is 1992305148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1147 PAT LUCKETT RD
CANTON, MS
ZIP 39046-102
Phone: (601) 383-7916

The enumeration date for this NPI number is 10/27/2020 and was last updated on 10/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172A00000X	Driver		800073965	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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