Overton, Tiameko Rochelle

Overton, Tiameko Rochelle is an individual health care provider with primary practice located at 105 Corporate Blvd , Lafayette LA 70508-3850. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Overton, Tiameko Rochelle can be contacted via phone (337) 593-9099.

Contact Information

Primary practice address
105 Corporate Blvd Lafayette LA 70508-3850
Phone: (337) 593-9099
Fax: (337) 769-8509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP04787 Louisiana

Profile Details

NPI number 1962492249
LBN Legal business name Overton, Tiameko Rochelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Dec 18th, 2013 - about 12 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 1962492249 NPPES
Louisiana MEDICAID 1630420

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