| Doctor Name: | MRS. RENATE EATON |
| NPI Number: | 1164477261 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | R545732 |
| Business Practice Address: | 208 N 1st St Booneville, MS - 388292718 |
| Business Phone Number: | 6627283313 |
| Business Fax Number: | 6627285623 |
| Mailing Address: | 208 N 1st St, BOONEVILLE |
| State: | MS |
| Postal Code: | 388292718 |
| Phone Number: | 6627283313 |
| Fax Number: | 6627285623 |
| NPI Enumeration Date: | 05/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | R545732 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |