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Brian Overstreet
Primary Care Nurse Practitioner in Jackson, Mississippi
NPI 1568875151

Brian Overstreet is a Primary Care Nurse Practitioner based in Jackson, MS and is specialized in Primary Care. Brian Overstreet practices in Jackson, MS. The NPI Number for Brian Overstreet is 1568875151 and holds a License No. AP136188 (Mississippi).

The current practice location address for Brian Overstreet is 2500 North State Street, Jackson, MS and can be reached out via phone at 601-984-5571 and via fax at 601-984-5583.

Location: 2500 North State Street, Jackson, MS, 39216-4500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568875151
Provider Name
Brian Overstreet
Credential
Provider Entity Type
Individual
Gender
Male
Address
2500 North State Street, Jackson, MS, 39216-4500
Phone Number
601-984-5571
Fax Number
601-984-5583
Provider Enumeration Date
06/11/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2408143 05 LA
05873296 05 MS
institution
Provider Business Practice Location Address Details
Address
2500 North State Street
City
Jackson
State
Mississippi
Zip
39216-4500
Phone Number
601-984-5571
Fax Number
601-984-5583
person
Provider Business Mailing Address Details
Address
2500 North State Street
City
Jackson
State
Mississippi
Zip
39216-4500
Phone Number
601-984-5571
Fax Number
601-984-5583
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R878670 (Mississippi)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
R878670 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
AP136188 (Texas)
Definition
Definition to come...
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