| Nurse Practitioner Associates Of Meridian Llc | |
|
3701 8th St Ste B Meridian MS 39307-6083 | |
| (601) 527-7585 | |
| Not Available |
| Full Name | Nurse Practitioner Associates Of Meridian Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3701 8th St Ste B, Meridian, Mississippi |
| Authorized Official Name and Position | Mary Stewart (MEMBER) |
| Authorized Official Contact | 6015277585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nurse Practitioner Associates Of Meridian Llc Po Box 3272 Meridian MS 39303-3272 Ph: (601) 527-7585 | Nurse Practitioner Associates Of Meridian Llc 3701 8th St Ste B Meridian MS 39307-6083 Ph: (601) 527-7585 |
| NPI Number | 1710640859 |
|---|---|
| Provider Enumeration Date | 10/15/2021 |
| Last Update Date | 01/13/2022 |
| Medicare PECOS PAC ID | 9537553292 |
|---|---|
| Medicare Enrollment ID | O20220223002944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710640859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Erica R Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366733164 PECOS PAC ID: 9133305733 Enrollment ID: I20110517000044 |
| Provider Name | Mary S Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902180979 PECOS PAC ID: 3375716913 Enrollment ID: I20111027000265 |
| Provider Name | Tanyaneka L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104243831 PECOS PAC ID: 7719100890 Enrollment ID: I20140516001496 |
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