Individual
ADAM MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP, RNFA
Contact information
Practice address
6 BRIARWOOD LOOP, PETAL, MS 39465-1009
(601) 270-8284
Mailing address
6 BRIARWOOD LOOP, PETAL, MS 39465-1009
(601) 270-8284
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
876127
MS
363LG0600X
Gerontology Nurse Practitioner
Primary
R876127
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00008822
—
MS
Enumeration date
07/18/2014
Last updated
08/03/2022
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