Healthcare Provider Details

I. General information

NPI: 1275416273
Provider Name (Legal Business Name): CAROLINE ELIZABETH OVERMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 08/02/2025
Certification Date: 08/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 INWOOD RD FL 5
DALLAS TX
75390-7202
US

IV. Provider business mailing address

2001 INWOOD RD FL 5
DALLAS TX
75390-7202
US

V. Phone/Fax

Practice location:
  • Phone: 214-645-0538
  • Fax:
Mailing address:
  • Phone: 214-645-0538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1207722
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: