Provider Demographics
NPI:1235384850
Name:MEEKS, LACEY DAWN (MSN, ACNP-BC, FNP-BC)
Entity Type:Individual
Prefix:
First Name:LACEY
Middle Name:DAWN
Last Name:MEEKS
Suffix:
Gender:F
Credentials:MSN, ACNP-BC, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 245
Mailing Address - Street 2:
Mailing Address - City:FARWELL
Mailing Address - State:TX
Mailing Address - Zip Code:79325-0245
Mailing Address - Country:US
Mailing Address - Phone:806-481-7000
Mailing Address - Fax:806-481-1006
Practice Address - Street 1:405 AVENUE A
Practice Address - Street 2:
Practice Address - City:FARWELL
Practice Address - State:TX
Practice Address - Zip Code:79325-6657
Practice Address - Country:US
Practice Address - Phone:806-481-7000
Practice Address - Fax:806-481-1006
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX710186363LA2100X, 363LF0000X
NMCNP01510363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX200335202Medicaid
TX803N38OtherBC/BS IND
TX803N38OtherBC/BS IND