Healthcare Provider Details

I. General information

NPI: 1700717915
Provider Name (Legal Business Name): JAMIE OVERSTREET RN BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 MAJESTIC CIR
AMHERST VA
24521-2734
US

IV. Provider business mailing address

121 MAJESTIC CIR
AMHERST VA
24521-2734
US

V. Phone/Fax

Practice location:
  • Phone: 434-363-7687
  • Fax: 434-363-7687
Mailing address:
  • Phone: 434-363-7687
  • Fax: 434-363-7687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001186028
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: