Individual
JESSICA MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAP, PA-C
Contact information
Practice address
651 S MOUNT JULIET RD # 1124, MT JULIET, TN 37122-6319
(615) 861-1461
Mailing address
1074 NEALCREST CIR, SPRING HILL, TN 37174-2689
(858) 354-4527
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-12860
NC
363A00000X
Physician Assistant
0110008415
VA
363A00000X
Physician Assistant
2022039654
MO
363A00000X
Physician Assistant
7733
AZ
363A00000X
Physician Assistant
Primary
PA0000004858
TN
363A00000X
Physician Assistant
PA22987
CA
363A00000X
Physician Assistant
TPPA234
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HL031Z
PTAN
—
Enumeration date
06/12/2013
Last updated
08/20/2024
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