Individual provider · Type 1 NPI
Jessica Overstreet
Driver · Canton, MS
NPI number
1992305148
Active
Practice location
1147 Pat Luckett Rd
Canton, MS 39046-9102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 800073965 (MS) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
About NPI 1992305148
Jessica Overstreet's National Provider Identifier is 1992305148, issued on Oct 27, 2020. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Canton, MS. The record was last updated on Oct 27, 2020.