Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EARL BUCKHANAN
ActiveEARL BUCKHANAN is a Community Health Worker healthcare provider located in JACKSON, Mississippi. NPI 1548777428 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · JACKSON, MS
Registration Details
- NPI Number
- 1548777428
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 2, 2018 (8.6407503895699 yrs)
- Last Updated
- Jan 2, 2018
Practice Information
- Address
-
460 BRIARWOOD DR STE 510JACKSON, MS, 392063057Browse MS providers · Browse ZIP 39206
- Phone
- 6019564816
- Fax
- 6019564817
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| EUGENE MORGAN | — | 1811343684 |
| MR. LEMICHAL DRAKE | CCRP | 1366898025 |
| TAWNY RENEE WILLIAMS | CSSMSW | 1679111389 |
| DESIREE STATES | CSS | 1467342782 |
| NIKAELA THOMAS | — | 1083505937 |
| WILLIAM NEIL DUGGAR | PHD, DABR | 1982561064 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.