| Doctor Name: | MRS. SUSAN D EARL |
| NPI Number: | 1093931719 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 12687 |
| Business Practice Address: | 364 New Byhalia Rd Suite 1 Collierville, TN - 380173730 |
| Business Phone Number: | 9012218621 |
| Business Fax Number: | 9012218631 |
| Mailing Address: | 12235 Fox Lair Dr, COLLIERVILLE |
| State: | TN |
| Postal Code: | 380179747 |
| Phone Number: | 9012218621 |
| Fax Number: | 9012218631 |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 01/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 12687 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |