Individual
OLIVIA EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5205
Mailing address
2500 N STATE ST UNIT S063, JACKSON, MS 39216-4500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-2610
MS
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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