MRS. Angelia Michele Eason, NURSE PRACTITIONER

NPI #1114690039 in Rolling Fork, Mississippi

Provider Information

NPI Number: 1114690039
Entity Type: Individual
Name: MRS. Angelia Michele Eason, NURSE PRACTITIONER
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: NURSE PRACTITIONER
Enumeration Date: Jul 27, 2021
Last Updated: Apr 14, 2022

Practice Location

Address: 283 W RACE ST
City: Rolling Fork
State: Mississippi
ZIP Code: 39159-2621
Phone: (662) 873-0477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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