Individual
TAMMY EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
209 W MAIN ST, EAST PRAIRIE, MO 63845-1444
(573) 427-8560
Mailing address
209 W MAIN ST, EAST PRAIRIE, MO 63845-1444
(573) 649-4509
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024023339
MO
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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