Provider Demographics
NPI:1003487737
Name:PILLOW, MEGHAN MARGARET (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:MARGARET
Last Name:PILLOW
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 PINEAPPLE POINTE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-6023
Mailing Address - Country:US
Mailing Address - Phone:773-220-1578
Mailing Address - Fax:
Practice Address - Street 1:131 COMMONWEALTH DR STE 390
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4837
Practice Address - Country:US
Practice Address - Phone:864-675-4603
Practice Address - Fax:864-675-4729
Is Sole Proprietor?:No
Enumeration Date:2021-07-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.023454363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC25916OtherLICENSE
SCMP6627674OtherDEA