Individual provider · Type 1 NPI
Jerome Ellis Overton, RN
Critical Care Medicine Registered Nurse · Charlotte, NC
NPI number
1609603299
Active
Practice location
200 Hawthorne Ln
Charlotte, NC 28204-2515
Mailing address
187 Planters Row Rd
Iron Station, NC 28080-6714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 333863 (NC) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1609603299
Jerome Ellis Overton, RN's National Provider Identifier is 1609603299, issued on Sep 17, 2024. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Charlotte, NC. The record was last updated on Sep 17, 2024.