Provider Demographics
NPI:1053205708
Name:PREYEAR, PHYLENGTHIA LASHA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:PHYLENGTHIA
Middle Name:LASHA
Last Name:PREYEAR
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:PHYLENGTHIA
Other - Middle Name:LASHA
Other - Last Name:PREYEAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:2816 OLD SHELL LANDING RD
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-6816
Mailing Address - Country:US
Mailing Address - Phone:228-623-8009
Mailing Address - Fax:
Practice Address - Street 1:2816 OLD SHELL LANDING RD
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-6816
Practice Address - Country:US
Practice Address - Phone:228-623-8009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS907463207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine