Provider Demographics
NPI:1669515490
Name:WEEKS, MERIDETH KAY (APN)
Entity type:Individual
Prefix:MRS
First Name:MERIDETH
Middle Name:KAY
Last Name:WEEKS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660-J SOUTH HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38301-7797
Mailing Address - Country:US
Mailing Address - Phone:731-423-8600
Mailing Address - Fax:731-423-8636
Practice Address - Street 1:1660-J SOUTH HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-7797
Practice Address - Country:US
Practice Address - Phone:731-423-8600
Practice Address - Fax:731-423-8636
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN 7824363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3906785Medicaid
TN3906785Medicaid
TNP65822Medicare UPIN