Individual
DANIELLE EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1616 WILLIAMS DR, LEAKESVILLE, MS 39451-5622
(601) 394-2381
Mailing address
1616 WILLIAMS DR, LEAKESVILLE, MS 39451-5622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R884641
MS
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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