Individual provider · Type 1 NPI

Derrick Leigh Easom

Nurse Practitioner · Valdosta, GA

NPI number 1487138251 Active

Practice location

2810 N Oak St
Valdosta, GA 31602-1716

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN248094 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1487138251

Derrick Leigh Easom's National Provider Identifier is 1487138251, issued on Sep 18, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Valdosta, GA. The record was last updated on Feb 5, 2025.