Overly, Jenna Nicole

Overly, Jenna Nicole is an individual health care provider with primary practice located at 44199 Dequindre Rd Ste 315 , Troy MI 48085-1128. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Overly, Jenna Nicole can be contacted via phone (248) 964-1170.

Contact Information

Primary practice address
44199 Dequindre Rd Ste 315 Troy MI 48085-1128
Phone: (248) 964-1170
Fax: (248) 964-1188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301117520 Michigan
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 4301117520 Michigan

Profile Details

NPI number 1982040382
LBN Legal business name Overly, Jenna Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2013
Last updated Mar 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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