Provider Demographics
NPI:1922668045
Name:MEEKS, ELISE JEANNE (FNP-C)
Entity Type:Individual
Prefix:
First Name:ELISE
Middle Name:JEANNE
Last Name:MEEKS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ELISE
Other - Middle Name:JEANNE
Other - Last Name:COLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3217 4TH ST
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-3759
Mailing Address - Country:US
Mailing Address - Phone:912-466-4200
Mailing Address - Fax:
Practice Address - Street 1:3217 4TH ST
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-3759
Practice Address - Country:US
Practice Address - Phone:912-466-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-20
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN270340163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse