Individual
BONNIE E. EARLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9639
(601) 703-3273
Mailing address
PO BOX 5183, MERIDIAN, MS 39302-5183
(601) 703-9506
(601) 703-3264
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R801292
MS
Other
Enumeration date
12/02/2005
Last updated
07/08/2007
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