Provider Demographics
NPI:1811923840
Name:MEYER, JOHN FREDERICK JR (FNP-C)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FREDERICK
Last Name:MEYER
Suffix:JR
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4259 23RD AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-1534
Mailing Address - Country:US
Mailing Address - Phone:254-285-5902
Mailing Address - Fax:
Practice Address - Street 1:TRINITY UNIVERSITY HEALTH SERVICES
Practice Address - Street 2:ONE TRINITY PLACE, #80
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-7821
Practice Address - Country:US
Practice Address - Phone:210-999-8111
Practice Address - Fax:210-999-8378
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120992363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily