Provider Demographics
NPI:1285698894
Name:OVERCOMER, VICTORIA (APRN FNP-C)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:OVERCOMER
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5298 PRATER DR
Mailing Address - Street 2:
Mailing Address - City:GROVEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43125-9137
Mailing Address - Country:US
Mailing Address - Phone:614-592-8269
Mailing Address - Fax:614-223-1732
Practice Address - Street 1:5797 BEECHCROFT RD STE F
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-2758
Practice Address - Country:US
Practice Address - Phone:614-500-2500
Practice Address - Fax:614-369-3723
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH117522164W00000X
OHF06162475363LF0000X
OHRN 368023163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No164W00000XNursing Service ProvidersLicensed Practical Nurse
No163W00000XNursing Service ProvidersRegistered Nurse