Individual
MRS. JORDAN ASHLEY OVERHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4505 N WHEELING AVE, MUNCIE, IN 47304-1284
(765) 713-7073
Mailing address
4505 N WHEELING AVE, MUNCIE, IN 47304-1284
(765) 713-7073
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003695A
IN
Other
Enumeration date
09/13/2011
Last updated
12/22/2011
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