Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APN16643 | TN |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APN16643 | TN |
NPI | 1003172040 |
---|---|
Provider Name | Cynthia Gail Meadows |
First Address | Knoxville, TN 37920-1545 |
Second Address | Knoxville, TN 37920-1545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2012 |
Last Update Date | 29/04/2021 |