Individual
NAKISHA EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1129 N MAIN ST STE H, SOUTH BOSTON, VA 24592-2547
(434) 517-6180
(434) 517-6179
Mailing address
1129 N MAIN ST STE H, SOUTH BOSTON, VA 24592-2547
(434) 517-6180
(434) 517-6179
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0024186791
VA
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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