| Doctor Name: | JASON OVERBY |
| NPI Number: | 1114268216 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | 22049 |
| Business Practice Address: | 1501 Trousdale Dr Burlingame, CA - 940104506 |
| Business Phone Number: | 6506965382 |
| Business Fax Number: | |
| Mailing Address: | 1501 Trousdale Dr, BURLINGAME |
| State: | CA |
| Postal Code: | 940104506 |
| Phone Number: | 6506965382 |
| Fax Number: | |
| NPI Enumeration Date: | 03/14/2013 |
| NPI Last Update Date: | 03/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 22049 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |