Provider Demographics
NPI:1447564570
Name:FARMER, MEREDITH LEIGH (RN, NNP)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:LEIGH
Last Name:FARMER
Suffix:
Gender:F
Credentials:RN, NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:266 MCDONALD RD
Mailing Address - Street 2:
Mailing Address - City:TALLAPOOSA
Mailing Address - State:GA
Mailing Address - Zip Code:30176-3031
Mailing Address - Country:US
Mailing Address - Phone:256-590-3976
Mailing Address - Fax:
Practice Address - Street 1:266 MCDONALD RD
Practice Address - Street 2:
Practice Address - City:TALLAPOOSA
Practice Address - State:GA
Practice Address - Zip Code:30176
Practice Address - Country:US
Practice Address - Phone:256-590-3976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-30
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-102675163W00000X
AZRN162764363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163W00000XNursing Service ProvidersRegistered Nurse