Search › South Carolina › 374J00000X
Jackie Overton
NPI 1003705369 · on the registry since 2025 · sole proprietor
Practice
- Address
- 300 Caughman Farm Ln Apt 401
Lexington, SC 29072 - Phone
- (773) 982-0467
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Also registered as
- 374700000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina