Doctor Name: | MRS. SHARON CRANFORD EASTERLING |
NPI Number: | 1750728648 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | GNP-BC |
License Number: | R655104 |
Business Practice Address: | 701 S Holly Ave Collins, MS - 394283894 |
Business Phone Number: | 6017223610 |
Business Fax Number: | 6017229985 |
Mailing Address: | 701 S Holly Ave, COLLINS |
State: | MS |
Postal Code: | 394283894 |
Phone Number: | 6017223610 |
Fax Number: | 6017229985 |
NPI Enumeration Date: | 05/31/2013 |
NPI Last Update Date: | 05/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | R655104 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |