Provider Demographics
NPI:1447049887
Name:CODY, MEGAN NICOLE (RN)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:NICOLE
Last Name:CODY
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1288 COUNTY ROAD 2901
Mailing Address - Street 2:
Mailing Address - City:HIGBEE
Mailing Address - State:MO
Mailing Address - Zip Code:65257-2950
Mailing Address - Country:US
Mailing Address - Phone:573-470-1690
Mailing Address - Fax:
Practice Address - Street 1:1021 HITT ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65212-1002
Practice Address - Country:US
Practice Address - Phone:573-771-6600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007004964163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care