Provider Demographics
NPI:1174257810
Name:MCLESKEY, MEGHANN SYDNEY (APRN, CNM, WHNP-BC)
Entity Type:Individual
Prefix:MISS
First Name:MEGHANN
Middle Name:SYDNEY
Last Name:MCLESKEY
Suffix:
Gender:F
Credentials:APRN, CNM, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 SHADY BROOK LN APT 826
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-1212
Mailing Address - Country:US
Mailing Address - Phone:830-613-1771
Mailing Address - Fax:
Practice Address - Street 1:622 HEMPHILL ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3179
Practice Address - Country:US
Practice Address - Phone:817-878-2737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-09
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1086961367A00000X, 176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife