Individual provider · Type 1 NPI

Shavonne Larcenia Overton

Family Nurse Practitioner · New Haven, CT

NPI number 1922713254 Active

Practice location

158 Amity Rd # 280
New Haven, CT 06515-1405

Call (203) 404-3463 Map

Fax (203) 563-9255

Mailing address

PO Box 745254
Atlanta, GA 30374-5254

Other practice locations

  • 58 Tully Cir, Bridgeport, CT 06610-1116 · (860) 680-2922

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X12.011424 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1922713254

Shavonne Larcenia Overton's National Provider Identifier is 1922713254, issued on Jan 20, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Haven, CT. The record was last updated on Apr 17, 2025.