Overton-Mccoy, Amy Leigh

Overton-Mccoy, Amy Leigh is an individual health care provider with primary practice located at 1307 Trinity Boulevard , Texarkana AR 71854. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Overton-Mccoy, Amy Leigh can be contacted via phone (870) 773-6467.

Contact Information

Primary practice address
1307 Trinity Boulevard Texarkana AR 71854
Phone: (870) 773-6467
Fax: (870) 216-0061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X A001559 Arkansas

Profile Details

NPI number 1295731545
LBN Legal business name Overton-Mccoy, Amy Leigh
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Nov 15th, 2013 - about 11 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 1295731545 NPPES
Arkansas Other 82234 AR BLUE CROSS BLUE SHIELD
Arkansas MEDICAID 146188758 AR BLUE CROSS BLUE SHIELD

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