Individual
JILL TAYLOR EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 HIGHLAND WAY, SUITE 103, MADISON, MS 39110-6929
(601) 200-4750
(601) 200-4740
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R877394
MS
Other
Enumeration date
06/26/2014
Last updated
03/25/2020
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