Individual
JOSHUA EAGLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
515 BAYOU ST, VINCENNES, IN 47591-1034
(812) 886-6800
(812) 886-6809
Mailing address
515 BAYOU ST, VINCENNES, IN 47591-1034
(812) 886-6800
(812) 886-6809
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006302A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201363680
—
IN
Enumeration date
06/09/2016
Last updated
07/21/2022
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