Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | AP60898543 | WA |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 2021036671 | MO |
NPI | 1356816383 |
---|---|
Provider Name | Hyojin Meadows |
First Address | Springfield, MO 65807-3901 |
Second Address | Springfield, MO 65807-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2018 |
Last Update Date | 23/11/2021 |