Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Derrick Leigh Easom

Individual provider Nurse Practitioner · NPI 1487138251

Mrs. Derrick Leigh Easom is a Nurse Practitioner in Valdosta, Georgia. Licensed in Georgia. Registered with an NPI since 2018.

Licensed in
GA
In the registry since
2018

Practice location Address checks out

2810 N Oak St
Valdosta, GA 31602-1716
Phone: (229) 938-6495
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN248094 (GA)

Record details

NPI number1487138251
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2018
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

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