Individual
AMY LEIGH OVERTON-MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
1307 TRINITY BOULEVARD, TEXARKANA, AR 71854
(870) 773-6467
(870) 216-0061
Mailing address
1307 TRINITY BOULEVARD, TEXARKANA, AR 71854
(870) 773-6467
(870) 216-0061
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
A001559
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146188758
—
AR
01
—
82234
AR BLUE CROSS BLUE SHIELD
AR
Enumeration date
06/22/2005
Last updated
11/15/2013
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