Provider Demographics
NPI:1407222953
Name:MEADOWS, WINDY D (FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:WINDY
Middle Name:D
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3597 ARDOCH RD SW
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:GA
Mailing Address - Zip Code:31331-6035
Mailing Address - Country:US
Mailing Address - Phone:912-381-1668
Mailing Address - Fax:
Practice Address - Street 1:6 HOLMES CT
Practice Address - Street 2:
Practice Address - City:POOLER
Practice Address - State:GA
Practice Address - Zip Code:31322-4800
Practice Address - Country:US
Practice Address - Phone:912-254-4401
Practice Address - Fax:912-330-4319
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN219621363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily