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Individual

JAMES H OVERFELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 218-9318
Mailing address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 218-9318

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3006444
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3006444
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000056294
ANTHEM GROUP #
01
000000665303
ANTHEM #
01
1487872636
ARNP GROUP #
01
6764
KY GROUP NUMBER
KY
05
7100143000
KY
01
P00843209
MEDICARE RR #
KY
Enumeration date
05/19/2010
Last updated
05/09/2011
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