EASLEY DELONES FAMILY MEDICAL INC. NPI 1972801405

NPI Information

NPI: 1972801405
Provider Name: EASLEY DELONES FAMILY MEDICAL, INC.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 44D2024518

Address:
1618 HIGHWAY 51 S
SUITE G
COVINGTON, TN
ZIP 38019
Phone: (901) 476-7777
Get Directions

EASLEY DELONES FAMILY MEDICAL, INC. is a family nurse practitioner in Covington, TN. EASLEY DELONES FAMILY MEDICAL, INC. NPI is 1972801405. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1618 HIGHWAY 51 S
SUITE G
COVINGTON, TN
ZIP 38019-237
Phone: (901) 476-7777
Fax: (901) 476-0007

The provider's authorized official is Jennifer Leigh Easley .
The authorized official title is Managing Employee and has the following contact phone number (901) 476-7777.

The CLIA number assigned to this NPI record is 44D2024518 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2011 and was last updated on 12/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1532690	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »