Provider Demographics
NPI:1073911889
Name:FIGUEROA, MEREDITH
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 DOVECREST CV
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-6908
Mailing Address - Country:US
Mailing Address - Phone:731-234-6811
Mailing Address - Fax:
Practice Address - Street 1:512 AUTUMN SPRINGS CT
Practice Address - Street 2:A
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2846
Practice Address - Country:US
Practice Address - Phone:615-905-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-10
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18674363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily