Provider Demographics
NPI:1932128766
Name:MEISNER, PATRICIA B (DO, FACEP)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:B
Last Name:MEISNER
Suffix:
Gender:F
Credentials:DO, FACEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 CENTRAL AVE W
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38556-3031
Mailing Address - Country:US
Mailing Address - Phone:865-305-9401
Mailing Address - Fax:931-879-3290
Practice Address - Street 1:208 CENTRAL AVE W
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:TN
Practice Address - Zip Code:38556-3557
Practice Address - Country:US
Practice Address - Phone:865-305-9401
Practice Address - Fax:931-879-3290
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS016993207P00000X
NJ25MB07360600207P00000X
TN5457207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ056475Medicare PIN
NJH57684Medicare UPIN