Individual
NANCY F EASTERLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
914 SUMRALL RD, COLUMBIA, MS 39429-2652
(601) 731-1470
(601) 731-1474
Mailing address
914 SUMRALL RD, COLUMBIA, MS 39429-2652
(601) 731-1470
(601) 731-1474
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R629626
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117189
—
MS
Enumeration date
07/27/2006
Last updated
07/08/2007
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