Doctor Name: | MS. EVA S WHEELESS |
NPI Number: | 1639286941 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | R564249 |
Business Practice Address: | 1616 Williams Drive Leakesville, MS - 39451 |
Business Phone Number: | 6013942381 |
Business Fax Number: | 6013942593 |
Mailing Address: | Po Box 160, LEAKESVILLE |
State: | MS |
Postal Code: | 39451 |
Phone Number: | 6013942381 |
Fax Number: | 6013942593 |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 01/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R564249 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |