Healthcare Provider Details

I. General information

NPI: 1881607992
Provider Name (Legal Business Name): JULIE A OVERCASH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 09/09/2022
Certification Date: 09/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 NORTHWOODS DR
LINCOLN NE
68505-3092
US

IV. Provider business mailing address

8201 NORTHWOODS DR
LINCOLN NE
68505-3092
US

V. Phone/Fax

Practice location:
  • Phone: 402-465-5600
  • Fax: 402-327-6074
Mailing address:
  • Phone: 402-465-5600
  • Fax: 402-327-6074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036-082751
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number30376
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: