Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MACON OVERTON III, NP
ActiveMR. MACON OVERTON III, NP is a Pediatric Critical Care Nurse Practitioner healthcare provider located in HUNTSVILLE, Alabama. NPI 1962974147 is currently active in the NPPES registry. Verify at CMS.
Pediatric Critical Care Nurse Practitioner · HUNTSVILLE, AL
Registration Details
- NPI Number
- 1962974147
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2018 (7.6085854571969 yrs)
- Last Updated
- Dec 28, 2018
- License
-
1-171815 (AL)
Practice Information
- Address
-
245 GOVERNORS DR SEHUNTSVILLE, AL, 358012700Browse AL providers · Browse ZIP 35801
- Phone
- 2562657946
- Primary Specialty
-
Pediatric Critical Care Nurse Practitioner
363LP0222X
Other Pediatric Critical Care Nurse Practitioner Providers in HUNTSVILLE, AL
| Name | Credential | NPI |
|---|---|---|
| KOURY YOUNG MALLETT | — | 1588223432 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.