Provider Demographics
NPI:1356659569
Name:MEEK, FRANCINE DIANE (FNP)
Entity type:Individual
Prefix:
First Name:FRANCINE
Middle Name:DIANE
Last Name:MEEK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 W 10TH ST
Mailing Address - Street 2:STE A
Mailing Address - City:ROLLA
Mailing Address - State:MO
Mailing Address - Zip Code:65401-2905
Mailing Address - Country:US
Mailing Address - Phone:573-364-5633
Mailing Address - Fax:573-426-5314
Practice Address - Street 1:1000 W 10TH ST
Practice Address - Street 2:STE A
Practice Address - City:ROLLA
Practice Address - State:MO
Practice Address - Zip Code:65401
Practice Address - Country:US
Practice Address - Phone:573-364-5633
Practice Address - Fax:573-426-5314
Is Sole Proprietor?:No
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO089242363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily