Kanisha L Meaders is a Family in Jackson, Mississippi. Kanisha L Meaders practices all healthcare services and medical treatments related to Family. The NPI Number for Kanisha L Meaders is 1376611087. The last update date is 2011-07-13.
Kanisha L Meaders's current location address is 3502 W Northside Dr, Jackson, Mississippi. You can contact this provider via phone number 6013625321 and fax number 6013642600. The mailing address for Kanisha L Meaders is 3502 W Northside Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kanisha L Meaders |
---|---|
Address | 3502 W Northside Dr, Jackson, Mississippi |
Phone Number | 6013625321 |
Fax Number | 6013642600 |
Sole Proprietor | N |
Credentials | FNP |
NPI Number Detail
NPI Number | 1376611087 |
---|---|
Provider Enumeration Date | 2006-12-01 |
Last Updated Date | 2011-07-13 |
Provider Mailing Address Detail
Address | 3502 W Northside Dr |
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City | Jackson |
State | Mississippi (MS) |
Post Code | 392134454 |
Phone Number | 6013625321 |
Fax Number | 6013642600 |
Provider's Primary Taxonomy Detail
Speciality | Family |
---|---|
Taxonomy | 363Lf0000X |
Licence No | R865885 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
9186513 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kanisha L Meaders by the Centers for Medicare & Medicaid Services?
The Kanisha L Meaders has been issued the NPI (National Provider Identifier) 1376611087. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kanisha L Meaders is physically located?
The Kanisha L Meaders is physically situated at the following address: 3502 W Northside Dr, Jackson, MS, 392134454.
What is Kanisha L Meaders's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kanisha L Meaders is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
On what date was the 1376611087 assigned to Kanisha L Meaders?
The Kanisha L Meaders was issued its 1376611087 on 2006-12-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Kanisha L Meaders, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kanisha L Meaders, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-07-13.
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