Individual
MEREDITH A GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN/CNP
Contact information
Practice address
630 BURNETT DR, MOUNTAIN HOME, AR 72653-2941
(870) 425-6971
(870) 508-8908
Mailing address
630 BURNETT DR, MOUNTAIN HOME, AR 72653-2941
(870) 425-6971
(870) 508-8908
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004880
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216935758
—
AR
Enumeration date
08/30/2016
Last updated
05/17/2023
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