Provider Demographics
NPI:1053665232
Name:SEARCY, LARONA RACHELLE (FNP)
Entity Type:Individual
Prefix:MS
First Name:LARONA
Middle Name:RACHELLE
Last Name:SEARCY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-8751
Mailing Address - Country:US
Mailing Address - Phone:601-503-0335
Mailing Address - Fax:
Practice Address - Street 1:161 WOODLAND DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-8751
Practice Address - Country:US
Practice Address - Phone:601-503-0335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-09
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR866837363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care