Individual
KIMBERLY L EASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
550 PEACHTREE ST NE STE 1275, ATLANTA, GA 30308-2240
(404) 872-3121
(404) 872-3119
Mailing address
550 PEACHTREE ST NE STE 1275, ATLANTA, GA 30308-2240
(404) 872-3121
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN112386
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000887961
—
GA
01
—
RN112386
NURSING LICENSE
GA
Enumeration date
04/25/2006
Last updated
07/28/2022
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