IndividualActive
Jenna Overly, M.D.
NPI 1982040382 · Surgical Critical Care Physician · Troy, MI
Provider details
- NPI number
- 1982040382
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 4301117520 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
44199 Dequindre Rd Ste 315
Troy, MI 48085-1128
Phone: (248) 964-1170
Fax: (248) 964-1188
Approximate (ZIP-level) locationGet directions
Mailing address
26901 Beaumont Blvd Ste 3d
Southfield, MI 48033-3849
Registry dates
- Enumerated
- 2013-05-13
- Last updated
- 2021-03-29
- Certified
- 2021-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.