Individual
STACEY OVERSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC, CPNP-AC
Contact information
Practice address
1901 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 724-1111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP1065839
TX
363LP0200X
Pediatric Nurse Practitioner
APN.0993805-NP
CO
Other
Enumeration date
06/22/2018
Last updated
09/05/2024
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