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NPI Code Detail

MEDICARE: LINDA FAYE EASON FNP

MEDICARE:   LINDA FAYE EASON  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse37488AL

General Provider Information

NPI Number : 1568544427
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA FAYE EASON FNP
Provider Business Mailing Address
First Line : 7401 BLACKMON RD APT 116
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-7513
Country : US
Telephone Number : 706-545-0984
Fax Number : 706-545-4033
Provider Business Practice Location Address
First Line : 6540 WAY AVE BLDG 2822
Second Line :
City : FORT BENNING
State : GA
Zip : 31905-3799
Country : US
Telephone Number : 706-545-4033
Fax Number : 706-545-3022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 07/08/2007

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Directions to “ LINDA FAYE EASON FNP” Practice Location

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