JESSICA OVERSTREET


Address: 1147 Pat Luckett Rd, Canton, MS 39046-9102
Phone: 6013837916

JESSICA OVERSTREET (NPI# 1992305148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992305148
Entity Type Individual
Full Name JESSICA OVERSTREET
Practice Address 1147 Pat Luckett Rd
Canton
MS 39046-9102
Practice Telephone 6013837916
Mailing Telephone 6013837916
Enumeration Date 2020-10-27
Last Update Date 2020-10-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172A00000X Driver 800073965 MS Other Service Providers

Office Location

Street Address 1147 PAT LUCKETT RD
City CANTON
State MS
Zip Code 39046-9102

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043858053 Pediatric Haven Skilled Nursing Facility 112 Westfalen Drive, Canton, MS 39046 2019-12-20
1932743176 Stacey Elizabeth Aldridge Social Worker 210 E Peace Street, Canton, MS 39046 2019-10-31
1881245736 Mildred Loving Technician 323 Shady Lane, Canton, MS 39046 2019-09-23
1295384683 Betty Bass Technician 693 Miggins Road, Canton, MS 39046 2019-09-09
1972081644 Charles Brayden Jones Physical Therapist 276 Nissan Pkwy Ste 400, Canton, MS 39046 2018-08-03
1013436062 Andrew J Breland Counselor 210 E Peace St, Canton, MS 39046 2017-09-11
1801318290 Mississippi Enjoy Breastfeeding Shalom Resource Center Clinic/Center 343 Smith Street, Canton, MS 39046 2017-07-07
1619362977 Shameca Hudson Nurse Practitioner 274 Cobbville Dr E, Canton, MS 39046 2015-04-03
1144644386 Margaret Reimers Beckwith Chiropractor 124 Links Drive, I-103, Canton, MS 39046 2014-02-07
1053753194 Tanya Linette Calhoun Nurse Practitioner 1171 Hart Street, Canton, MS 39046 2013-07-17
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Taxonomy Information

Taxonomy Code 172A00000X
Grouping Other Service Providers
Classification Driver

Taxonomy Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578164711 Alvah Yolanda Hayes Driver 1612 33rd St Ne, Canton, OH 44714-1552 2020-11-04
1013474055 Harman Gill Driver 5880 N Canton Center Rd Ste 480, Canton, MI 48187-2616 2019-02-26
1114490323 Devan Lamonte Strange Jr. Driver 177 Miggins Rd, Canton, MS 39046-9162 2019-01-10
1609366731 Bryant Lamone Robinson Driver 1365 Highway 16 W, Canton, MS 39046-9319 2018-05-14
1053861831 Lisa Marie Hayes Driver 1227 Worley Ave Nw, Canton, OH 44703-1558 2016-10-05
1083930853 Kara Melinda Santelle Driver 2322 44th St Nw, Canton, OH 44709-2126 2010-04-19
1164552303 Nicole Dayna Kirksey Driver 1442 Struble Ave Ne, Canton, OH 44705-1253 2007-03-06
1063653624 Stephanie Thompson Driver 2505 Hollyview Ave Ne, Canton, OH 44721-3323 2009-03-11
1023283199 Tina M Cross- Smothers Driver 110 Clarendon Ave Nw, Canton, OH 44708-4623 2008-04-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730793688 Sharon Gaddis Driver 3825 Mount Charity Rd, Carthage, MS 39051-8666 2020-09-08
1265066138 Sarah Howard Driver 5880 Ridgewood Rd Apt H65, Jackson, MS 39211-2628 2020-02-28
1174160758 Andrew James Rodgers Driver 104 Cherry Bark Way, Pearl, MS 39208-5542 2019-12-03
1023653839 Frank Stovall Driver 716 W Georgetown St, Crystal Springs, MS 39059-2778 2019-11-15
1841835006 Jessica Hearn Hudson Driver 403 Westview Ln, Columbus, MS 39705-8162 2019-11-12
1982252300 Valarie White Driver 1305 N 7th Ave, Laurel, MS 39440-2201 2019-08-28
1548827405 Sonya Jeaneanne Smith Driver 160 Broadway St Apt J4, Clinton, MS 39056-4840 2019-05-24
1225694490 Daniel Scott Morgan Driver 5913 Bay Tree Rd, Ocean Springs, MS 39564-2202 2019-05-14
1952965840 Labrintary Jackson Driver 119 Herman Johnson W, Indianola, MS 38751-3664 2019-04-25
1144787029 Robert King Walker Driver 308 Sally Gray Rd, Waynesboro, MS 39367-8937 2019-02-27
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City CANTON
Zip Code 39046

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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