Provider Demographics
NPI:1881489086
Name:MYERS, MEREDITH RAE (MSN, APRN FNP-BC)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:RAE
Last Name:MYERS
Suffix:
Gender:
Credentials:MSN, APRN FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 KEETER LOOP
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-9043
Mailing Address - Country:US
Mailing Address - Phone:870-719-9530
Mailing Address - Fax:
Practice Address - Street 1:1420 HIGHWAY 62 65 N
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-1922
Practice Address - Country:US
Practice Address - Phone:870-741-6111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR123380207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine