National Provider Identifier
Jayne C. Overholt, PNP
Jayne C. Overholt, PNP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Lewiston, NY and a listed phone number of (716) 297-0052.
Profile Overview
- NPI
- 1033184627
- Provider Type
- Individual
- Primary Specialty
- Pediatric Nurse Practitioner
- Enumeration Date
- February 17, 2006
- Last Updated
- July 08, 2007
Practice Location
- 5290 Military RD
- Suite #3
- Lewiston, NY 14092-1953
Phone: (716) 297-0052
Specialties
- Pediatric Nurse Practitioner (363LP0200X)
Full Record
- NPI
- 1033184627
- Entity Type
- Individual
- Last Name
- Overholt
- First Name
- Jayne
- Middle Name
- C.
- Credential
- PNP
- Mailing Street Address
- 5290 Military RD
- Mailing Address Line 2
- Suite #3
- Mailing City
- Lewiston
- Mailing State
- NY
- Mailing ZIP Code
- 14092-1953
- Mailing Country
- US
- Mailing Phone
- (716) 297-0052
- Mailing Fax
- (716) 297-4530
- Practice Street Address
- 5290 Military RD
- Practice Address Line 2
- Suite #3
- Practice City
- Lewiston
- Practice State
- NY
- Practice ZIP Code
- 14092-1953
- Practice Country
- US
- Practice Phone
- (716) 297-0052
- Practice Fax
- (716) 297-4530
- Enumeration Date
- February 17, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Nurse Practitioner (363LP0200X)
- Other Identifiers
- 07152689 (NY)