Individual provider · Type 1 NPI
Jason Overby, NP
Gerontology Nurse Practitioner · Burlingame, CA
NPI number
1114268216
Active
Practice location
1501 Trousdale Dr
Burlingame, CA 94010-4506
Mailing address
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 22049 (CA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1114268216
Jason Overby, NP's National Provider Identifier is 1114268216, issued on Mar 14, 2013. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Burlingame, CA. The record was last updated on Dec 7, 2021.