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NPI Code Detail

MEDICARE: JAMES ALAN EASTER NP-C

MEDICARE: JAMES ALAN EASTER NP-C
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
1363L00000XNurse Practitioner903147MS

General Provider Information

NPI Number : 1467797977
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES ALAN EASTER NP-C
Provider Business Mailing Address
First Line : 400 S CHESTNUT ST OFC
Second Line :
City : ABERDEEN
State : MS
Zip : 39730-3335
Country : US
Telephone Number : 662-369-2040
Fax Number : 928-283-2677
Provider Business Practice Location Address
First Line : 400 S CHESTNUT ST
Second Line :
City : ABERDEEN
State : MS
Zip : 39730-3335
Country : US
Telephone Number : 662-369-2040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2012
Last Update Date : 03/04/2019

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Directions to “ JAMES ALAN EASTER NP-C” Practice Location

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