Provider Demographics
NPI:1821389784
Name:MEREDITH, ERIN B (NP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:B
Last Name:MEREDITH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:6100 PRIMACY PKWY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-0705
Mailing Address - Country:US
Mailing Address - Phone:901-682-5335
Mailing Address - Fax:901-682-5440
Practice Address - Street 1:6100 PRIMACY PKWY
Practice Address - Street 2:SUITE 105
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-0705
Practice Address - Country:US
Practice Address - Phone:901-682-5335
Practice Address - Fax:901-682-5440
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNRN158852163W00000X
TNAPN15763363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse