Individual
JESSICA LIZOTTE OVERLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
830 HARRISON AVE, STE 1400, BOSTON, MA 02118-2905
(617) 638-8124
(617) 638-6424
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN274519
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110092176A
—
MA
Enumeration date
10/03/2008
Last updated
10/22/2025
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