Kanisha L Meaders in Jackson - Family

Kanisha L Meaders - NPI 1376611087

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
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 --

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FAQs about Kanisha L Meaders

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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