Derrick Leigh Easom
Nurse Practitioner · Valdosta, GA
Practice location
2810 N Oak StValdosta, GA 31602-1716
- Phone
- (229) 938-6495
NPI record
- NPI
- 1487138251
- Entity type
- Individual (Type 1)
- Enumeration date
- September 18, 2018
- Last updated
- February 5, 2025
- Certified
- February 5, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X |
RN248094 | GA |
About Derrick Easom
Derrick Leigh Easom is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 2810 N Oak St, Valdosta, GA 31602-1716. The NPI number 1487138251 was assigned on September 18, 2018 and the record was last updated on February 5, 2025.
Derrick Easom lists a license in the registry: #RN248094 (GA) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Derrick Leigh Easom?
The NPI number is 1487138251.
What is the phone number of Derrick Easom?
The phone number listed for the practice location is (229) 938-6495.
Where is Derrick Easom located?
2810 N Oak St, Valdosta, GA 31602-1716.
What is the taxonomy code for Derrick Easom?
The primary taxonomy code is 363L00000X – Nurse Practitioner.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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