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Dallas Maxwell Earnest, FNP
Family Nurse Practitioner in Clarksdale, Mississippi
NPI 1376752832

Dallas Maxwell Earnest is a Family Nurse Practitioner based in Clarksdale, MS and is specialized in Family. Dallas Maxwell Earnest practices in Clarksdale, MS and has the professional credentials of FNP. The NPI Number for Dallas Maxwell Earnest is 1376752832 and holds a License No. 12310 (Mississippi).

The current practice location address for Dallas Maxwell Earnest is 1015 Lee Dr Ste 13, Clarksdale, MS and can be reached out via phone at 662-592-4170 and via fax at 662-269-0226.

Location: 1015 Lee Dr Ste 13, Clarksdale, MS, 38614-3619
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Provider Profile Details
NPI Number
1376752832
Provider Name
Dallas Maxwell Earnest
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1015 Lee Dr Ste 13, Clarksdale, MS, 38614-3619
Phone Number
662-592-4170
Fax Number
662-269-0226
Provider Enumeration Date
05/22/2007
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09128041 05 MS
institution
Provider Business Practice Location Address Details
Address
1015 Lee Dr Ste 13
City
State
Zip
38614-3619
Phone Number
662-592-4170
Fax Number
662-269-0226
person
Provider Business Mailing Address Details
Address
1015 Lee Dr Ste 13
City
State
Zip
38614-3619
Phone Number
662-592-4170
Fax Number
662-269-0226
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
12310 (Tennessee)
Definition
Definition to come...
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