EASLER & WHITE MEDIVERSAL GROUP NPI 1477148823

NPI Information

  • NPI: 1477148823
  • Provider Name: EASLER & WHITE MEDIVERSAL GROUP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 922 TRIPLETT ST STE 7
    OWENSBORO, KY
    ZIP 42303
  • Phone: (270) 903-3168

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NPI Details

EASLER & WHITE MEDIVERSAL GROUP is a family nurse practitioner in Owensboro, KY. EASLER & WHITE MEDIVERSAL GROUP NPI is 1477148823. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

922 TRIPLETT ST STE 7
OWENSBORO, KY
ZIP 42303-118
Phone: (270) 903-3168

The provider's authorized official is Jackqueline Easler .
The authorized official title is Owner/member and has the following contact phone number (270) 903-3168.

The enumeration date for this NPI number is 3/8/2021 and was last updated on 3/8/2021.

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
1363LF0000XNurse PractitionerFamilyYes

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
17100521780MEDICAIDKENTUCKY

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: 11/21/2025

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