Individual
JESSICA MEADORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5105 W BRISTOL RD, FLINT, MI 48507-7147
(810) 733-0822
Mailing address
5105 W BRISTOL RD, FLINT, MI 48507-7147
(810) 733-0822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704300072
MI
363LF0000X
Family Nurse Practitioner
Primary
4704300072
MI
Other
Enumeration date
08/15/2019
Last updated
08/27/2020
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