Jayne C. Overholt
Nurse Practitioner - Pediatrics
5290 Military Rd Suite #3
Lewiston
, New York 14092-1953
Jayne C. Overholt
Nurse Practitioner - Pediatrics
5290 Military Rd Suite #3
Lewiston
, New York 14092-1953
(716) 297-4530
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Jayne C. Overholt
- 5290 Military Rd Suite #3
- Lewiston, NY
- Zip : 14092-1953
- Fax : (716) 297-4530
- Phone : (716) 297-0052
Second Address
- Jayne C. Overholt
- 5290 Military Rd Suite #3
- Lewiston, NY
- Zip : 14092-1953
- Fax : (716) 297-4530
- Phone : (716) 297-0052
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Is Jayne C. Overholt a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | F3809201 | NY |
National Provider Identifier
| NPI | 1033184627 |
|---|---|
| Provider Name | Jayne C. Overholt |
| First Address | Lewiston, NY 14092-1953 |
| Second Address | Lewiston, NY 14092-1953 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/02/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 07152689 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.