Provider Demographics
NPI:1295964526
Name:MERIWETHER, TEMPEST JIMILL (MS)
Entity type:Individual
Prefix:MRS
First Name:TEMPEST
Middle Name:JIMILL
Last Name:MERIWETHER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:TEMPEST
Other - Middle Name:JIMILL
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4112 MERRYMAN LN
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37127-3400
Mailing Address - Country:US
Mailing Address - Phone:615-979-8236
Mailing Address - Fax:
Practice Address - Street 1:231 VETERANS PKWY STE F2
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-6437
Practice Address - Country:US
Practice Address - Phone:615-979-8236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator