Organization
EASLEY DELONES FAMILY MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LEIGH EASLEY FNP (MANAGING EMPLOYEE)
(901) 476-7777
Entity
Organization
Contact information
Practice address
1618 HIGHWAY 51 S, SUITE G, COVINGTON, TN 38019-3237
(901) 476-7777
(901) 476-0007
Mailing address
1618 HIGHWAY 51 S, SUITE G, COVINGTON, TN 38019-3237
(901) 476-7777
(901) 476-0007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532690
—
TN
Enumeration date
03/08/2011
Last updated
07/25/2024
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