Individual
MEGHAN SUE UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1846 WILSON PIKE, FRANKLIN, TN 37067-7506
(615) 829-2565
Mailing address
PO BOX 7756, ROCKY MOUNT, NC 27804-0756
(252) 985-1371
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12069
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12069
APN LICENSE
TN
01
—
3370186
MEDICAID GROUP #
TN
05
—
36432461
—
TN
01
—
4167860
BCBS PROV #
TN
Enumeration date
05/05/2006
Last updated
02/23/2009
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