Provider Demographics
NPI:1376845354
Name:MEADOWS, JOANNA HOPE (RN)
Entity Type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:HOPE
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:RANDOLPH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:701 COUNTY SERVICE DRIVE
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501
Mailing Address - Country:US
Mailing Address - Phone:931-528-2531
Mailing Address - Fax:931-526-7451
Practice Address - Street 1:701 COUNTY SERVICE DRIVE
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501
Practice Address - Country:US
Practice Address - Phone:931-528-2531
Practice Address - Fax:931-526-7451
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-24
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000160830163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse