Individual
MS. JACKIE DESHAY OVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CAUGHMAN FARM LN APT 401, LEXINGTON, SC 29072-6878
(773) 982-0467
Mailing address
300 CAUGHMAN FARM LN APT 401, LEXINGTON, SC 29072-6878
(773) 982-0467
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
—
—
374J00000X
Doula
Primary
7011-43
SC
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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