Overstreet, Brian

Overstreet, Brian is an individual health care provider with primary practice located at 2500 North State Street , Jackson MS 39216-4500. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Overstreet, Brian can be contacted via phone (601) 984-5571.

Contact Information

Primary practice address
2500 North State Street Jackson MS 39216-4500
Phone: (601) 984-5571
Fax: (601) 984-5583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP136188 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R878670 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X R878670 Mississippi

Profile Details

NPI number 1568875151
LBN Legal business name Overstreet, Brian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2014
Last updated Dec 4th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568875151 NPPES
Louisiana MEDICAID 2408143
Louisiana MEDICAID 05873296

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