ALLISAN FAYE MEADOWS FPN-BC NPI 1073152963

NPI Information

NPI: 1073152963
Provider Name: ALLISAN FAYE MEADOWS, FPN-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
465 DACULA RD STE I
DACULA, GA
ZIP 30019
Phone: (770) 822-1922
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Allisan Faye Meadows, FPN-BC is a family nurse practitioner in Dacula, GA with 5 years of experience. Allisan Faye Meadows, FPN-BC NPI is 1073152963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

465 DACULA RD STE I
DACULA, GA
ZIP 30019-171
Phone: (770) 822-1922

The NPI 1073152963 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/25/2019 and was last updated on 12/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN112983	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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